mm c'oi o ~p 28 2008/p... · strategic directiotis.. the departmem:t will review these...
TRANSCRIPT
Eastern Health..,y
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O++,' r> h C"""'OI.LllCe OT tt e b t
·nCT 3 2006
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~pGOVERl\lMENT OF
l'JEWFOm\IDU.J'JD .AND J.....I}.BF.tU.J.l.J,J;;.. ---J.
Dep.:n'tmen't ofHealth IDld Commmrlty Ser.v.i.ceS .Omce of the Deputy MInister
Ootober 21 2006
Mr. George Tilley, C.B.a.Eastern Regional Hea.lth Authority'Corporate Office, Waterford Bridge RoadSt. John's,1'l"L AlE 4J8
Dear Mr.Till~ r
j . '. Re~ 2007....08 Bndget SUbmissio~
<.
The Dep2tttnent of Finance. recently issued a request for the 2007-08 budg(lsubmission to -Goyennnent Departments an.d Crown Agencies with the Budget Request IefueDeparb.nent ofH~th and Comrrmmty Services due DeceniIJer I5} 2006. As pan ofthl"budget pr6parati01l-process~ Jam seeking input from the Health Authorities regarding yo\.;.fu:n.d±n.gl'equireroeJJj:s fOJ: the llPCO!1Ung .fisca1year. .
. , The])e.part!:nen:t o.f.Finance's Guidelines faT the 2007~08 Budget indicate me budge:processwill continueto promote the program initiatives and bioad strategies adopted du.rin!i:b.e Government'scurren.t m.andate. Government will consider its srrategic directions an·;::pelioy-a£etI.dain detennlning the allocation offinancial I~soUrces fDj·')j,e;..1 year. Some of tl) 1hyparameters are 1'JOt~d below and should bf< considered ill the preparation of yonr bu.dge .plan andnet funding request for 2007...08 fisc'll year.. .'
The Budget Guidelines al1ew Departments to request'i:t'Jcreased levels offuD.ding fOI
2007-08pro'0.ded fuese requests relate to Governmentlsstrategic priority in1tiati.ves .ancdirections. Th.ese directions have been presented in documents such as the Throne Speec1'and White :Papers as well as public announcements respecting various strategies. Therefore
. your budget submission may include priority initiatives YOll judge to be consjstent Virith tbes,:strategic directiotis.. The DepartmEm:t will review these proposals relative. to the anteD.:provided by the Departrrie.nt of Fina:nce to dete.TJlJ.inc what win be inoluded 1n the 2007/01:
. bUdget submiss~on to Government. Requests for 11ew D.1u.ding must be aocompanied b:,briefing notes) supplementary analysis 2.tld supporting documentation and aU requests muslbe ranked by priority by your authority. . .
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CIHRT Exhibit P-0769 Page 1
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Consistent with previous years~ the 2007-08 Budget Plan ror eacbhealth authon';,'should fDCllS D11 achieving a baJanced budget. Health authorities are- expected to take ever "reason.able measure to minimize expenses and maximize offset revenues to achieve thi::objective. This includes implem.enting approved cost savings m.easures, Best Practi.ces BI.I.other operational review recomm.endati.ons-
Gjve:n the tight time frame for the budget sublni.ssion, the Department w5.11 not 11 ::requesting detailed functionaJ centre expeDditure and. revenue reports in a standardize lfor.tnm: 1:0 accompany the 2007-08 budget request However, it is SJ~eeted that Y01I:'organization will develop .plans and fOTeoasts at a. detailed JeveJ. internally to support your nl: :.frmding request.
As in previous yea'('S Wy are again proposing a collaborative appr.oaoh to tl:.:d(;:velopment oftbe 2007/08 funding request for health authorities. 1 am asking each hetIJ.i: 1
authority to ptovide key pieces of information as noted below to the DepBrtment for reviev..AB in previous years, Dep.artm.entaJ. staffwi11 also prepare analysis of certain items to shm :with the Authorities for feedback. These two stremJJ.S of infonnation will form the fundin: ;request for all healtll authorities to the Department DfFinance.
H ealtb. Authorities are a.s1c-ed to present a listing' of significant and unique btidge:pressures relative to your organization. This infornlation is to be provided to the Departme11by November 3\ 2006. TIns summary should include fIle following:
o Strategic p110rity directions 1IDdlor initiatives for wbich new funding' is bemlrequested; :Please note that a separate brie:fing note :rn required for each, iterl .identified (see attached template in Appendix A). Tbese items must be ranke:in order ofprioritJ' b;r tbelIealth Authority.
"
o Blldgot 2006 provided health authorities with additional. funding' to expan:current prograJfJ.S, address tertiary pro,gr.am pressures .:md introduoe ne,1provinDiaUrd.tiatives in various program areas. As many ofthes.c llrltiativeSl)aVlcommenced at VariOllS interv.a1sin the cmrent year p1ease .1de.utif,Y the .2.007~O!:funding requirements (which. maybe leS$. thEm the anticipated ii.1U1ua}:ize:fundlng)relatedtotl)eSB various initiatives.
o iilltidpated te;t':l'J:)j.n.ation benefits tD be pa1d out in 2007-08, including lea:\,;balances to be paid upon ienninationl severance~· redundancy/enhancel;severance, commuted value ofpen:sio:n, and otherte.rmiJ;Lat10:O benefits.
o Unusual. -growtb/deDDne in worldoad for splIcific programs an-dlOI
1.ucrease:/decrease in costs for good$/services.
o Unc0l1trol1ible program cost mcr8ases/decrea$Bs,
o Si1iJ11flcant Dperatiug impacts ofnew capita11TIv~st.ments, .'
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CIHRT Exhibit P-0769 Page 2
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o Savings associated with imple1Tlentation 'of best practioe reviews and ofu.: I'
measures intend.ed to :r.eduoe expenditures.
o gig:oj.:6caut inoreases/decreases in offsetting revenues.
, As noted above, DepartmeJJ.tal StaffwilJ eslimi3.te the fiscal impacts of certa:. L
items for all Authtrrities. This analysi8 will be sbared with the Health Author:ities f<: 7feedbaok prior to submission to the D~artment of Finaoce. The timing of presentation a:r Ifeedback for each item will occur Dvm tb.e Gaming weelcs) with the aim tc> having this W01: :
completed by Oc::taJ.;er 20~ 2006'. Feedback 01) tbis analysis by the Health. Authorities vliU 1, l
expected by November'l 01> 2006. Items to be prepnred by Department2J, staffwill includ.e:
CJ Negotiated Salaty IUG);'easf:JS.
CJ InfJ.ation factor for drugs, medicaJ and surgical supplies) fuel and electricity, ffill.
other non-compensation c;l1:penses.
o Impact of any applioable proposed or approved provincial rate/fee increases (e. I!proposed :PersOrutl Care Home Subsidy rate chang~s. negotiated Road Ambulanc,fee changes~ Home Support Subsidywage in.crease). .
o General Growth in sp.eoificprograms (e.g. BomeBupport Subsidies).
I would like to taJ.ce this opporbmity to thBIlk you and the staff of the Authority feyour antioipated cooperatiDn and cornmitme:ot to this process.
Sin'cerely -yours,
, fpn
Attach.'
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CIHRT Exhibit P-0769 Page 3
Appen<iixA
BriefingNote- 2(J07~D8B11dget Process
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Theme:
Priority Ranking:
Issue:
Backgro:u.n.d and AnaJY5is~
.. .Provide factual data. (i.g. caseloac1. #s~ impacts ofproposal on clients);
., Pros and COJJS;
.. Identify an.y legal, environmental~ staffing.or gender copsideratioru:;
• Jmplic:a1ions ifnot approved;
... Sllfficient .ilJform~tion to permit Ministers to make an manned decision.
Implementation TimeIine:
Cost:
-SalarieslBel'tefitsOther
Total Annualized Cost
:# ofFI'EEg,nivalents
:Date:
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CIHRT Exhibit P-0769 Page 4
CIHRT Exhibit P-0769 Page 5
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/ EasternfIealth
Mr. John AbbottDeputy MinisterDepartment of Health & Community ServicesGovernment of Newfoundland & LabradorPO Box 8700St. John's, NL Ai B4J6
November 15, 2006
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RE: Fiscal 2007/08 Budget Submission - Eastern Health
Dear Mr. Abbott,
I am writing in response to your letter of October 2, 2006 in which you requestsubmission, by November 3, 2006, of Eastern Health's budgetary requirementsfor fiscal 2007/08. Subsequent to your letter, your officials agreed to an extensionof this deadline to today's date. I understand your officials attended certain of ourportfolio budget meetings, and are already well briefed on many of thechallenges which we will together face in the fiscal year 2007/08. Thank you foragreeing to our request for more time to prepare this submission, and pleasethank for us your officials who contributed to our process.
I have appended to this letter a summary sheet of Eastern Health's request for$61,379,747 in increased funding for fiscal 2007/08 (Appendix A). Thisrepresents a total percentage increase on our 2006/07 costs of 6.8% and whenadded to your Department's calculations of our inflation and salary increasecosts, will see an overall growth in our budget of 9.6% which is in keeping withour understanding of expected requirements of health Authorities in otherprovinces.
Obviously in an organization as large and as diverse as Eastern Health, thecomplexity and sheer volume of budget information makes concise and insightfulpresentation to your Department, and in turn to Treasury Board, something of achallenge. To assist in this we have grouped our presentation along majorthemes which we have entitled Delivering our Services ($47,850,745) andMoving our System ($7,938,581). These themes include the incremental costsof all of our programs and services, which for the purpose of this budgetsubmission, we have grouped as Tertiary/Provincial, Acute Care (less thantertiary and primarily rural),Long Term Care, Community Services, and SupportServices. We have also included in our request $1,005,254 for funds previouslycommitted by your Department, $1,069,905 to fund new initiatives announced byyour Department, and $3,515,262 which is our best estimate of the cost ofinitiatives which require your department's policy direction, clarification orconfirmation. (e.g. Pandemic Preparedness).
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CIHRT Exhibit P-0769 Page 6
.,) Within the theme Delivering our Services we have included necessaryincreases related to utilization and growth ($14,062,437), quality of client service($22,125,199) and supporting better practices ($11,663,109). Within Moving ourSystem we have included transition one-time costs ($789,949) and the cost of"Shifting Directions - getting upstream" of our disease processes ($7,148,632)(E.g. Primary Health Care).
We have also presented to you our costs by defined sector, exclusive of the costof inflation on supplies and the cost of negotiated salary increases, which are asfollows:
New Request Total Budget 06/07 % Increase
Community Health $22(.737,151 $135,041,735 16.8%
AcutefTertiary/LTC/Support $38,642,596 $772,500,639 5.0%
As you can see from this table, our AcutefTertiary/LTC/Support sectors presentrequests in a probably not unexpected range. Our request for CommunityServices, while something of an anomaly, is also likely not unexpected. Thissector has recently been the sUbject of intense public scrutiny which has
) illuminated considerable problems with workloads, standards of practice, andgrowth in service demand. There are considerable problems to be addressed.
I would again draw your attention to our request for 2007/08 funding for capitalequipment and capital infrastructure. The state of our equipment and facilities isa significant concern to Eastern Health and cannot be viewed in isolation of ouroperating plans.
Obviously this submission will require considerable clarification to yourDepartment which my staff is quite happy to provide. Thank you for yourconsideration of our request. We anticipate its usual thorough review by yourDepartment, and we rely on your obvious and continued support throughgovernment's 2007/08 budgetary process.
r;t;: TilleyJt:!1"- President & CEOIV Eastern Regional Health Authority
Attach.Page 2
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CIHRT Exhibit P-0769 Page 7
Eastern HealthBudget 2007-08
A. DelIvering our ServicesM $47,850,745
Appendix A
Access -$14,062,437
Tertiary/Provincial
Acute Care
Long Tenn Care
Community
Support
B. Moving our System -$7,938,581
UtlllzatlonlWalt Times
5,036,693
1,257,436
541,792
6,861,183
55,333
13,752,437
New Modality
310,000
310,000
Standard of Care -$22,125,199 Support - $11,663,109
Patient Safety Practice Workload Safety Better Practice Service Demands
1,441,250 4,920,793 2,967,044 703,039 199,000 175,000
173,800 728,879 721,074 75,000 184,500
270,000 1,176,296 1,100,313 2,155,450
1,612,508 6,206,369 37,705
112,476 227,968 466,429 2,839,333 3,527,983 1,766,099
1,997,526 8,666,444 11,461,229 3,542,372 5,995,138 2,125,599
Shifting Direction/
Transition Getting Upstream
Tertiary/Provincial 250,500
Acute Care
Long Tenn Care
Community
Support
C. Pending Issues .$3,515,262
D. Provincial Commitment - $1,005,254
E. Provincial Direction -$1,069,905
Summary by Sector:
Tertiary/Provincial
Acute Care
Long Tenn Care
Community
Support
238,200
551,749
789,949
New Requests
16,503,319
3,945,993
6,069,652
22,737,151
12,123,63261,379,747
323,000
6,575,132
7,148,632
CIHRT Exhibit P-0769 Page 8
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25,000,000
Eastern HealthSector
22,737,151
20,000,000
16,503,319
15,000,000
10,000,000
5,000,000
Tertiary/Provincial Acute Care
6,069,652
Long Term Care Community
12,123,632
Support
CIHRT Exhibit P-0769 Page 9
1,005,254
ProvincialCommitments
1,069,905
Provincial Direction
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3,515,262
Pending Issues
• - .•._. .__ '"~ . 0-_-•.._.-. __._---'--'---__~._._
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Moving our System
I-----+---l-+,38,5&11------------------------
Delivering ourServices
Eastern Health Budget 2007-08
10,000,000
20,000,000
40,000,000
30,000,000
50,000,000 --21-713'-r-5.,.....0-"""77-,H45.--------------------------------, ,
60,000,000
CIHRT Exhibit P-0769 Page 10
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Eastern HealthDelivering our Services - Access
8,000,000
55,333
541,792
6,861,183
5,036,693
1,000,000
2,000,000
3,000,000
4,000,000
5,000,000
6,000,000
7,000,000
Tertiary/Provincial Acute Care Long Term Care Community Support
I~ UtilizationlWait Times Ii New Modality I
CIHRT Exhibit P-0769 Page 11
,-
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7,000,000
6,000,000
5,000,000
4,000,000
3,000,000
2,000,000
1,000,000
4,920,793
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(-'-.-
Eastern HealthDelivering our Services - Standard of Care
6,206,369
466,429227,968
112,476
I~ Patient Safety iii Practice 0 Workload I
CIHRT Exhibit P-0769 Page 12
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Eastern HealthDelivering our Services - Support
4,000,000
3,500,000
3,000,000
2,500,000
2,155,450
2,000,000
1,500,000
1,000,000703,039
500,000184,500
37,705
3,527,983
Tertiary/Provincial Acute Care Long Term Care Community Support
I~ Safety I!!I Better Practice D Service Demands I
CIHRT Exhibit P-0769 Page 13
7,000,000
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Eastern HealthMoving our System
6,575,132
6,000,000
5,000,000
4,000,000
3,000,000
2,000,000
1,000,000
250,500 238,200 323,000
Tertiary/Provincial Acute Care Long Term Care Community Support
I~ Transition III Getting Upstream I
CIHRT Exhibit P-0769 Page 14
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Df<Eastern
Health
CIHRT Exhibit P-0769 Page 15
Medicine
..Eastern .:. iet Submission 2007-08 Themes
Deliverina our Services Access New Modalitv TertiarvNocturnal Dialysis (l daysJweek X 5 patients) increased MiSsupplies and $12.000/oatient for eauipment 130000 120000 250000
PeriooerativeIntegrated Health Services Institutions ~
Rural Avalon
Long Term Care & Supportive ServicesRural Avalon
Diaanostic lma inr'l
Diaonostic Ima lnr'l
Inst. Health Services Burin Peninsula
Inst Health Services Burin Peninsula
Int. Health Services ClarenvillelBonavista
lnt. Health Services Clarenvillel80navista
Int Health Services Clarenvillel80navista
Int. Health Services CiarenvilleIBcnavist3
Int. Health Services ClarenviltelBonavista
Rehabilitation Proaram
Rehabilitation Proaram
Rehabilitation Proaram
Rehabilitation Prooram
Oeliverina our Services
Oeliverinn our Services
Oeliverinl'l our Services
Deliverina our Services
Deliverina our Services
Deliverinrl our Services
Deliverinrl our Services
Deliverino our Services
Deliverinn our Services
DeliveriMrl our Services
Deliverin our Services
Delil/erina our Services
Deliverinn our Services
Deliverinn our Services
Deliverino our Services
Deliverino our Services
Access
Access
Access
Access
Access
Access
Access
Access
Access
Access
Access
Access
Access
Access
Access
Access
New Modalitv
UtilizationlWait Times
UtilizationlWait Times
UtilizationlWait Times
UtilizationlWalt Times
UtiJizationlWait Times
UtilizationlWait Times
UtilizationlWait Times
UtilizationlWait Times
UtilizationM'ait Times
UtilizaticnlWait Times
UtilizationM'ait Times
UtilizationlWait Times
UtilizationlWait Times
UtilizationlWait Times
UtilizationlWait limes
Tertiarv Atrial Fibrillation Ablation SyStemIncrease part-time LPN position to full-time in OPO to
Acute Care improve phySician efficiencY and accessibilitvAllied Health services are lacking for Rural Avalonspecifically Speech Language Pathology, PhysIotherapy and
Acute Care Clinical Nutrition
Acute Care Mammocraphv Carbonear machine available
Acute Care Ultrasound Serv-CarbonearIncrease in endoscopic procedures performed (colonscopes
Acute Care & aastroscopes)
Acute Care Increased utilization of sick leave bv RN's at BPHCC
Acute Care Addition of 5 transition beds for Gotden Heir'lhts Manor-1 vr
Acute Care Family Practice Support (Nurseltechnician)
Acute Care Renal DJalvsis Growth
Acute Care Sick Relief Hours
Acute Care Social Work -G.B.Cross
Acute Care Nurse I Palliative Care
Acute Care Recreation Specialist 2 North Rehab
Acute Care Rehab Day Services/CPOM SUDPlies
Acute Care Social Worker Bell Island
0.50
5.20
1.0
0.60
0.74
4.40
1,40
0.50
0.65
1.00
0.50
22000
374853
70.000
7.700
42000
43.410
192.854
94.600
49.309
37.000
48.750
51.720
35.000
60.000
27740
9.000
10.000
50.000
4.000
6.000
6500
10.000
5.000
19.000
60.000
22000
381353
80.000
12.700
69740
43.410
205854
110600
50.000
49.309
37.000
48.750
51.720
19.000
35.000
Rehabilitation Prooram Deliverino our ServicesCommunity Living and Supportive Services-Urban Deliverina our Services
Community Living and Supportive Services-Urban Deliverina our ServicesCommunity Living and Supportive Services-Urban Oeliverina our Services
Community Living and Supportive Services-Urban Deliverino our ServicesCommunity LMng and Supportive Services-Urban Oeliverinn our ServicesCommunity LMng and Supportive Services-Urban Deliverina aur ServicesCommunity Living and Supportive Services-Urban Deliverinn our ServicesCommunity Living and Supportive Services-Urban Oeliverinr'l our ServicesCommunity Living and Supportive Services-Urban Deliverino our Services
Access
Access
Access
Access
Access
Access
Access
Access
Access
Access
UtilizationlWait Times
UtilizationlWait limes
UtilizationlWait Times
UtilizationlWait limes
UtilizationJWait Times
UtllizationJWait Times
UtllizationlWait Times
UtilizationiWait Times
UtilizationlWait Times
UtilizationlWait limes
Acute Care Social Worker Palliative-Comfort Care to 1.0 FTEHome Support -Growth due to aging population. Home
Community Supports -Seniors
Home Support -Growth in individual supports, i.e. communityCommunity inclusion-Home SUPPort -Developmentally Delayed
Growth in other supplies due to under funding for officeCommunity supplies and contractual interpreter. Supportive Livinrl
Home Support -Growth in supplementary benefits such asrent, utilities, and flat rate allowance. Home support-
Community Phvsicallv ChallenoedHome Support ~Growth in Volume In Home Support Service
Community to the phYSically disabled
Communitv Alternate FamilY Care - Growth in Volume to AFC ServicesHome Support -Growth relating to accumulated deficit in
Community 2006/07-Home Support -Developmentally DelayedHome Support -Reduction in Right Futures expenditures-
Community Home Sunport -Developmentallv DelayedSAP -Unavoidable growth in medical equipment and oxygen
Community in Special Assistance ProCiram
0.57 41.000
102000
17549
270680
120134
136879
287394
(113310
194510
25000
41.000
102000
17549
25000
270680
120134
136879
267394
(113310
194510
Communltv Children Services Oeliverinn our Services Access UtlllzationlWalt Times
Child Care Services: Due to the number of licensed centres,subsidies, corrective action orders, and increase in illegalcentre referrals it is recommended that the following
Community temporary positions become permanently funded
Communitv Children Services
Communilv Children Services
CommunitY Children Services
Communitv Children Services
Communitv Children Services
CommunitY Children Services
Deliverino our Services
Oeliverino our Services
Deliverina our Services
Deliverina our Services
Deliverina our Services
Deliverina our Services
Access
Access
Access
Access
Access
Access
UtilizationlWait Times
UtilizationlWait Times
UtilizationlWait Times
UtilizationlWait limes
UtilizationlWait limes
UtilizationlWait Times
Community
CommunitY
Community
CommunitY
Community
Community
- Clerk Tvpist III
- Early Childhood Consultant
- lLA's shortfall
- Inclusion Coordinators
- Proaram Mananer
- Social Worker I
1.00
1.00
3.00
1.00
1.00
46.716
81.214
220.070
94.587
78.711
1.000.000
46.716
81.214
1.000.000
220.070
94.587
78.711
Communitv Children Services
CommunitY Children Services
Communitv Health & Nursinn
CYFS/Adontions-Rural Eastern
CYFS/Adootions-Rural Eastern
CYFS/Adontions-Rural Eastern
Deliverinn our Services
Detiverinn our Services
Deliverinn our Services
Deliverino our Services
Deliverina our Services
Deliverinn our Services
Access
Access
Access
Access
Access
Access
UtilizationlWait Times
UtilizationlWait Times
UtilizationlWait Times
UtilizationlWait TImes
UtilizationlWait limes
UtilizationlWait limes
Community - direct client costs (Protection & CWA)Projected increase in Program Budget at 7 % -Program
CommunitY BudQetsContinuing Care Nursing Services- No increases in thesebudgets to meet growing demands such as increasednumber of PCH, expansion of Home IV, and increasing
Communit\' complex needs in community
Community Direct Client Costs- Code (57) Parental VisitationDirect Client Costs -Code (79) Independent Living
Community ArranQements
Communitv Direct Client Costs -Code 8S Adontion Subsidv
1.00 81120
790000
77.812
1240000
46000
6600
790000
87720
77.612
1.240.000
46000
CIHRT Exhibit P-0769 Page 16
i, let Submission 2007-08
CYFS/Adontions-Rural Eastern
CYFS/Adootions-Rural EasternLong Term Care & Supportive ServicesRural Eastern
Inst. Health Services Burin Peninsula
DeliverinCl our Services
Deliverina our Services
Deliverino our Services
DeliverinC'l our Services
Access
Access
Access
Access
UtilizationIVVait limes
UtilizationlWait Times
UtillzationlWait Times
UtilizationlVVait Times
Community Overtime
Community Sick Leave ReliefProjected increase in "direct client cosr budget for Rural
Community EasternEnhancement of Rehabilitation Care Program-BurinPeninsula· 1.0 FTE physiotheraplstl1.0 FTE Physiotherapy
Community Support Worker
1.00
1.00
2.00
67.875
67.875
113439 10000
1586864
5000
67.875
67.875
1.586.864
128439
Int. Health Services ClarenvillelBonavista OeliverinC'l our Services
Int. Health Services Clarenvil1elBonavista Deliverino our Services
Access
Access
UtitizationlWait Times Community Occupational Therapist at BonavistaPCH • AG Report -$W Resource for increased personal eare
UblizationJWait Times Community home monitorina
1.00
0.50
72.730
34 205
2.000 10.500
7000
85230
4'205
Int.Health Services Communitv·Peninsulas Deliveringl-'°"'u!.:rS.,e"'M<!'·c""esLj -!.A;o;oc'!'Ce!!SS~ l___"U!!!Jtil"'iz.!!ati!!'·O!!!nNV:woa"-'-ttJ.Jn!!m",e,"+-,c",o",m!!m!!!u",n'"itv'-f.~"":,:~,,,~!!.~~:;,e,;:;;,:,~tr=h~9~",:=~cti",~~",~,;~:"~~",~,"kh!,edO':",:c,:,~:!!.le"~"'~"~~"':~"'.'oC'"n,,,,:~;.;~!!:noVl,,,~~;,e;;:07;t--,1,,,,.0,,,,0+- __-,,76,,,.5,,,2,,,9+ +----+---_+__---'3"'.5"'0"'0+__-'8"'0"'.0"'2"-19
Community Living and Supportive Services- waitlist accumulated from July1/06 to March 31/07.
Urban Deliveringl.>O!!!u!.!,s!!!e~M~·ca!esy --,A>sc'2ce!!ss~ j-,U!!!til~iz!!atil!!·ol]nNVma![tt.!.Jn[!m~e'4..bL2!Onlll.JoTcJ!ef!rm!l.!<ca!!r!.e-H:~:~~~~~~:~:::::g~:~~:-f~¥!~~~~:;~--;;G::ro=wt::;h=d:;:u::e-;:lo:-:wa=tt;;:IiS:;-I----+-~+----=--j-----=-l-----=-l--...:3"'0"'S<t44'!8'+ -=--j__-=c30'158"'44=-t8
Community Uving and Supportive Services- preventlon/elimination. based upon 4 new clients presentingUrban Delivering,-,o",u!.!,S.,e~M~·ca!e!!.,+ ...!A;o;c'£ce!!ss~ l___"U!!!tiI~izJ!!ati!!!·ol]nNVma
- ---Eastern' ;' at n 2007-08 hemes
Allied Health Services Oevelonment OeliyMng our Seryi~ f--_._-_._. __f'.ccess UtilizationIWait Times Tertis!y_ Auditory Verbal Therapistl1ncreased cost of implants 1_00 84.236 21021 105.257.
Allied Health Services Development Delivering our Services Access UtilizationlWait limes Tertiarv Provincial Heartn" Aid Pro"ram 101.000 101.000
Cancer Care Deliverino our Services Access UtillzationlWait limes Tertiarv Clerical support (2) for chema administration 2.00 80.000 11.420 91,420
Cancer Care OeJiveriM our Services Access UtilizationlWait Times Tertiary Nurses (2) for chemotherapy administration 2.00 175.000 34.572 28.144 237.716
Cancer Care Delivering our Services Access UtilizationIVVait Times TertiaN Iml:llementatlon of Home Infusion Pronram 1.00 57.500 18,400 310 000 2.000 387.900
Cancer Care Delivering our Services Access UtillzationlWait Times Tertiary New HOR. Unit supplies 17.000 17.000
Cancer Care Delivering our Services Access UtilizationlWait Times TertiaN Unear Accelerator staff. 2 RT1. 1RTlI.1.0 supnort 4.00 242.000 242.000
Cancer Care Delivering our Services Access UtillzationlWait Times TertiaN Nutritional services - Central. Western 1.00 70.000 70.000
Cancer Care Deliverino our Services Access UtillzationlWait Times Tertiarv Social Workers· Central. Western 1.50 105.000 1000 106.000
Chlldrens·Womens Health Delivering our Services Access UtillzationlWait Times TertiaN Gvnecolo"'v· Increased Volumes of terminations 37.500 37.500
~ and Risk Management Deliverinc our Services Standard of Care Patient Safe1'v Acute Care Infection Control Nurses for Peninsulas & LTC 2.00 163800 163.800
~ and Risk Manaoement Deliverino our Services Standard of Care Patient Safek , Acute Care Trainin" sessions and seminars 10000 10000
LTC· St. John's Deliverin... our Services Standard of Care Patient Safek ' LOM" Term Care Complex Carel Wound mana"'ement issues - - - 70000 70000
LTC - St. Luke's Deliverinc our Services Standard of Care Patient Safekt Lon'" Term Care Reduce 4 bedrooms to 2 to improve resident care and safety - - - - . 200000 200000
Environmental Services Deliverino our Services Standard of Care Patient Safety SUDOOI1 Increase standard of cleaninn washrooms - HSC 2.00 74.984 74.984
Environmental Services Deliverinc our Services Standard of Care Patient Safety Su......ol1 Increase standard of cleaninn washrooms - St. Clares 1.00 37,492 37,492
Cardiac/Critical Care Delivering our Services Standard of Care Patient Safeh' Tertiaru Raoid Response Team 4.00 280.000 280.000
perio:eJalive Delivering our Services Standard of Care Patient Safekt Tertiaru Burrs & Blades (ENT. Plastics & Ol1ho)-Sin"'le Use 200.000 I 200.000
Perio erawe I Delivering our Services Standard of Care Patient Safe1'v Tertiarv Safer Healthcare Now 0.50 40.000 40.000
Laboratorv Services Deliverinn our Services Standard of Care Patient Safe tv TertiaN Immunohistochemistrv Quality Control (nenative controls) 65.000 65.000
Laboratorv Services Deliverinn our Services Standard of Care Patient Safetv TertiaN quality Assurance - Tech III 1.00 56.000 I 56.000
Oeliverino our Services I Patient Safety TertiaNSafety engineered devices inclUding new lancets-Health
Laboratory Services Standard of Care Canada Advisorv 100000 100 000
Pharmacv Delivering our Services Standard of Care Patient Safety TertiaN Expansion of Clinical Services Medicine Surnerv 3.00 189.750 189.750
Allied Health Services Development Deliverino our Services Standard of Care Patient Safety Tertiarv Ear tips- Si:n!=lle Use (Infection Control Audit) 10.500 10.500
B!gional Deliverin" our Services Standard of Care Patient Safe1'v TertiaN Infusion Pumps (Lease A$:ireement) - (To be determined) 500.000 500.000
Renional Deliverinn our Services Standard of Care Patient Safefv Tertiarv Needleless Suetem IV SvstemsIntegrated Health Services Institutions-Rural Avalon Deliverin[l our Services Standard of Care Practice Acute Care New CalJital UmitslMinor EQuil)ment ReQuirements - - - 30000 30000
Regional Clinical Educator to specifically meet advanced andIntegrated Health Services Institutions- specialty education needs for Rural Avalon and assist wfthRural Avalon Delivering our Services Standard of Care Practice Acute Care core pronrams 1.00 70500 - - 70 SOD
Reinstatement of Gerontology Nurse position to provideIntegrated Health Services Institutions· direct clinical care and consistent follow-up in areas such asRural Avalon Delivering our Services Standard of Care Practice Acute Care wound care. advanced foot care. and vaccination Dro rams 1.00 70500 - - - 70500
PharmaCY Delivering our Services Standard of Care Practice Acute Care Med Reconciliation Clarenville additional beds 1.00 63.250 63.250
Pharmacy Delivering our Services Standard of Care Practice Acute Care Med Reconciliation (Burin) 1.00 38.000 38.000
Pharmacy Deliverinn our Services Standard of Care Practice Acute Care Med Reconciliation CCarbonear 63.250 63.250
Inst. Health Services Burin Peninsula Deliverinn our Services Standard of Care Practice Acute Care Advanced NursinQ ·Clinicallnformation SDecialist 1.00 74.000 8.500 82.500
Inst. Health Services Burin Peninsula Delivering our Services Standard of Care Practice Acute Care Clinical Nurse SDecialist (Gerontolo"'v) 1.00 82.278 8.500 90.778
Rehabilitation Program Deliverinc our Services Standard of Care Practice Acute Care X-Rav Cross Traininn for Lab Tech Bell Island 3.600 3600
~ional Deliverin[l our Services Standard of Care Practice Acute Care Orientation costs for Nurses and LPNs and PCAs 216.501 216.501Home Supports - Physically Challenged ·Community
Community Living and Supportive Services-- inclusion funds - transportation and inclusion activities withUrban Deliverin[l our Services Standard of Care Practice Community disabilities. (631 clients@575/monthx12 months) - - - . 567900 567900
Home Supports- Physically Challenged.Funding for dentalservices for individuals with physical and developmentaldisabilities, excluding Right Futures and AFC clients who are
Community Living and Supportive Services-- already funded. (1115 clients@5200annually). We wi1lUrban Deliverinn our Services Standard of Care Practice Community explore the capacity of salaried Dentist at Waterford - - - 223000 - 223000Community Living and Supportive Services- I Cammunitv
Social Worker to support Community Behavioral Services I IUrban Celiverin" our Services Standard of Care Practice Pro"'ram for CYFS Clients 1.00 67304 - - 4400 71.704
11"4/2006
CIHRT Exhibit P-0769 Page 18
---"'.
Eastem~ et Submissio hemes , I,
Special Assistance Program-Initiatives aimed at addingmedical supplies (Pull-ups) and equipment (scooters andceiling track lifts) to SAP benefits list so as to more effectively
Community Living and Supportive Services- meet the needs of disabled clients and those withUrban Delivering our Services Standard of Care Practice Community Alzheimers. - - - 6.000 45 000 - 51000
Community Children Services Delivering our Services Standard of Care Practice CommunitY Clerk Tvpisllll's-CYFS 1.00 55985 7.000 62.985
Communitv Children Services Deliverina our Services standard of Care Practice Comm'd!lliY. Leaal SelViees· CYFS 1.00 131.502 15.000 146.502
Community Children Services Delivering our Services Standard of Care Practice Community Paraleaal-CYFS 1.00 57264 3.500 60.764
CommunitY Children Services Delivering our Services Standard of Care Practice Community Professional DevelopmenVTraininCl-CYFS 50.000 50.000Integrated Health Services Community.
CommunitvRural Avalon Deliverina our Services Standard of Care Practice Triaae Mental Health Nurse - CGH Emercencv Dept 1.00 72.546 - 5.000 77.546
Int.Health Services Community-Peninsulas Delivering our Services Standard of Care Practice CommunitY Clinical Support CRMS Community Health Nursina Proorams 1.00 71.138 3.500 74.638
Int.Health Services Communitv-Peninsulas DeliverinCl our Services Standard of Care Practice Community Clinical Support CRMS Intervention Services 0.50 27.496 3.500 30.996
Int.Health Services Communitv-Peninsulas CommunltvClinical Support CRMS Mental HealthfAddlctions
DeliverinCl our Services Standard of Care Practiee ProClramminCl 1.00 70 860 3500 74360
&gional Deliverina our Serviees Standard of Care Practice Community Orientation costs for Nurses 121.113 121.113Social Workers to implement Personal Care Home
6800 ICommunity Uving and Supportive Servlces- standards (consistent with May 26, 2006 submission to theUrban Deliverina our Serviees Standard of Care Practice LonR Term Care Dept. of Health) 2.00 134608 - - 143408
LTC - St. John's Deliverina our Services Standard of Care Practice Long Term Care Clinieal Educator 1.00 72.240 - - 2.000 74.240
LTC - st. John's DeliverinCl our Services Standard of Care Practice LonCl Term Care New Capital UmitslMinor EQuipment ReQuirements - - - . - 100 000 100 000
LTC - St. Luke's Deliverinn our Services Standard of Care Practice Lonn Term Care Phvslotheraov Supplies . - - - 1000 1000
LTC - St. Patrick's Delivering our Services Standard of Care Practice Lonn Term Care Proposed Complex Care Unit 420 310.000 60.000 - - - 370.000Long Term Care & Supportive Setvices-Rural Avalon Deliverina our Services Standard of Care Practice LonQ Term Care New Capital UmitsJfvtinor Eauipment Reauirements - - - 36 000 38000
Regional Clinical Nurse Specialist to strengthenLong Term Care & Supportive Services- gerontological nursing practice through clinical expertise,Rural Avalon Deliverina our Services Standard of Care Practice Lana Term Care education. and research and proQram development 1.00 74520 - 1000 75520Long Term Care & Supportive Services-Rural Avalon Delivering our Services Standard of Care Practice LonQ Term Care Scope of Practice- LPNfRNfPCA Skill Mix - 45 000 - - - 45 000
Pentecostal Home CeliverinQ our Services Standard of Care Practice Lonn Term Care Financial responsibilitY re: funeral exPenses . - 23 000 23 000
Pentecostal Home Deliverina our Services Standard of Care Practice Lona Term Care Financial responsibility re: medical transportation of residents - - - 18 000 18000Pentecostal Home Deliverina our Services Standard of Care Practiee Lana Term Care Financial responsibility re: portable OXVClen for residents - - 10 000 - - 10 000
Implementation of pest control contract to meet governmentPentecostal Home Deliverina our Services Standard of Care Practice Lona Term Care standard - 7200 7200Pentecostal Home Delivering our Services Standard of Care Practice Long Term Care New Capital UmitsfMinor El'1uipment ReQuirements - - 4000 4000
Regional clinical positions e.g.. Clinical Nurse Specialist,Pentecostal Home Delivering our Services Standard of Care Practice Lana Term Care Clinical Educator
Pentecostal Home Dellverlna our Serviees Standard of Care Practice Lana Term Care Seope of Practice· LPNIRNfPCA Skill Mix 21538 - 11610 33148
~glonal Delivering our Services Standard of Care Practice .-kQng Term Care Orientation costs for Nurses and LPNs and PCAs 121.308 233.780
~lLaundrylOjetary- Peninsulas Deliverina our Serviees standard of Care Practice Sunoort New Capital Umitsnv1inor Eauipment Reauirements - 77 000 77 000
~lLaundrylDietary - Rural Avalon Deliverina our Services Standard of Care Practice SUrlnort New Capital LimitslMlnor EQuIpment Reauirements - - - 50000 50 000
Suol1QL1 FTE Patient Edueator to address patient edueation
Communications DeliverinCl our Services Standard of Care Practice publications 1.00 58968 58968
HIS & Informatics Delivering our Services Standard of Care Practiee Sunnort Scannina in lieu of storaQe 1.00 42.000 42.000
AmbUlatory CarefEmemen~Due to charging loan repayment for scopes to operating fund
Deliverinn our Services Standard of Care Practice ~ and not capital as per prior vears 181000 181000HSC Emergency -Increase of 2.8 FTEs to meet new triage
Ambulatory CarelEmerg~ Oeliverinn our Services Standard of Care Practice TertiaN standards 2.80 182000 182000
CardiacfCritical Care Delivering our Services Standard of Care Practice TertiaN EP Mappina ~ Service Contract. Patch Kit. Arrav Catheter 70.000 12.500 82.500
CardiacfCritical Care Delivering our Services Standard of Care Practice Tertiary SHN - VAP & AMI initiatives 0.50 35.000 I 35.000
Perioperative Deliverino our Services Standard of Care Practice TertiaN Liaison Nurses at HSC and SCM ORs 2.00 160.000 160.000
Perioperative Delivering our Services Standard of Care Practice TertiaN SeQuential Compression Devices 60.000 60.000
Perioperative Delivering our Services Standard of Care Practice Tertiarv TransesophaReal TraininQ for 2 AnesthesioloQists 60.000 60.000
Portfolio Delivering our Services I Standard of Care Practice Tertiarv New Capital UmitslTvtinor EQuipment ReQuirements 400.000 400.000
Surg~ Celivenn!=! our Services Standard of Care Practice Tertiarv Bariatric SurRerv (Post-SurQical Pr~aram) 1.50 115.000 115.000
.Q!§gnostic Ima9l!!.n Deliverina our Services Standard of Care Practice TertiaN Chest Port Insertion 26.000 26.000
.Q!§gnostic lmag!!!g DeliverinCl our Services Standard of Care Practice TertiaN Medical PhySicist Joint appt-MUN 55.000 55.000
Diaonostic Imaaina DeliverinCl our Services I Standard of Care I Practice I Tertiarv Neuro-coilino Procosal I 2.00 160 0001 400 000 I I 550 000
11/1412006
CIHRT Exhibit P-0769 Page 19
-_.-
(\ ~ et SUbmissi 7-08 hemes,
Laboratory Services OeliverinrJ our Services Standard of Care Practice TertiaN Automated Pap Smear Screenino 350.000 350.000
Laboratorv Services Deliverino our Services Standard of Care Practice TertiaIV BNP testino 13.952 13.952
Laboratorv Services Delivering our Services Standard of Care Practice TertiaIV Creatinine Standardization 50.000 50.000
Laboratory Services Deliverina our Services Standard of Care Practice TertiaIV CRPTestina 13500 13.500
Laboratory Services Deliverino our Services Standard of Care Practice TertiaIV HPLC Bacteria Identification 5.000 5.000Increased Flow CytometrylR.enal Patients - Change Inpractice as a result of clinical practices followed by HalifaxHospital which must be continued when Patients return to
Laboratorv Services Delil/erino our Services Standard of Care Practice TertiaIV NL 1.00 50000 10000 60000
Laboratory Services Deliverinc our Services Standard of Care Practice Tertiarv Lab-Genetic Prooram 3.00 160.000 70.000 230.000
Laboratory Services Delivering our Services Standard of Care Practice TertiaN UQuid Based Pap Smear CollectionlProcessinrJ 500.000 500.000
Laboratorv Services Delivering our Services Standard of Care Practice Tertiarv POCTTech III (Point of Care Testinn) 1.00 56.000 56.000
TertiaIVAntibiotic usage will increase as a result of Clinical Pharmacy
Pharmacy Delivering our Services Standard of Care Practice vacancies 500000 500000
Pharmacy Deliverino our Services Standard of Care Practice TertiaN Velcade Clinical Guideline chanoes 500.000 500.000
Allied Health Services Develo ment Dellverlno our Services Standard of Care Practice Tertiarv PsvcholoC?v ProfessIonal Practice Co-ordInator 0.30 23.000 23.000
Cancer Care Delivering our Services Standard of Care Practice TertiaIV Breast Cancer Disease Site Group 1.001 60.000 60.000
Childrens·Womens Health Deliverina our Services Standard of Care Practice TertiaIV Clinical Nutritionist for EatinQ Disorders proaram 1.00 78.000 76.000
Childrens-Womens Health Deliverino our Services standard of Care Practice Tertiarv MFAU Nuchal Translucencv Screenino I 1.00 75.000 5.000 80.000
.B.ggional Deliverino our Services Standard of Care Practice TertiaIV Orientation costs for Nurses and LPNs and PCAs I 314.841 314.841
Ambulatory CarelEmeraencv Deliverina our Services Standard of Care Practice TertiaN Nurse Practitioner 1.00 75.000 75.000
Medicine Deliverino our Services Standard of Care Practice TertiaIV Nurse Practitioner reQuired for Gerontolonicalliaison 1.00 75.000 75.000
IClerk III position to provide staffing, scheduling, and payrollfunctions currently performed by nurse managers enabling
Integrated Health Services Institutions- them to focus on essential management functions andRural Avalon Deliverina our Services Standard of Care Workload Acute Care leadership roles 1.00 45000 - 45000
Endoscopy Unit in AmbUlatory Care has experienced
74000 Iconsistent growth resulting in concerns regarding the ability
Integrated Health Services Institutions - to meet the standards of care per the Canadian GIRural Avalon Deliverina our Services Standard of Care Workload Acute Care Association with the current staffino levels in piace 1.00 - - - 74000Long Term Care & Supportive Services-Rural Avalon Deliverina our Services Standard of Care Workload Acute Care Relief budnet for Respiratory Therapv department - 3000 - - 3000
Laboratorv Services Deliverina our Services Standard of Care Workload Acute Care Bonavista Blood Collection 0.60 30.000 30.000
Pharmacy Deliverina our Services I Standard of Care Workload Acute Care Relief (Carbonear) 21.600 21.600
Pharmacy Deliverina our Services Standard of Care Workload Acute Care Tech check Tech (Burin) 1.00 38.000 38.000
Pharmacy Deliverina our Services Standard of Care Workload Acute Care Tech check Tech (Clarenveille) 1.00 38.000 38.000
Pharmacy DeliverinCl our Services Standard of Care Workload Acute Care Tech check Tech (Carbonear) 2.00 76.000 76.000
Pharmacy Delivering our Services Standard of Care Workload Acute Care Tech Order Entrv Expansion CClarenvil1e) 2.00 76.000 76.000
Inst. Health Services Burin Peninsula Deliverina our Services Standard of Care Workload Acute Care Nurse Manaaers (eveninaslweekends) 1.60 155.237 4.500 159.737
Int. Health Services ClarenvillelBonavista Deliverinn our Services Standard of Care Workload Acute Care Nurse Managers for Eveninaslweekends 1.60 155.237 4500 159.737Community Living and Supportive Services-Urban Delivering our Services standard of Care Workload CommunitY Clerk Tv!:>ist III MVR Buildina -Related to new space plan 0.50 19.961 - 4,400 24.361
Home Support Coordinator to consult/advise staff, reviewhome support requests and authorize home supportexpenditures (new initiative to streamline process and allow
Community Living and Supportive Services- managers to focus on management functions and toUrban DeliverinCl our Services Standard of Care Workload CommunitY promote consistent practice across rea 2.00 149884 - - - 8800 158684Community Living and Supportive SelVices-Urban Deliverina our Services Standard of Care Workload Community FAO to implement Home Support Standard 2.00 112.600 - 8,800 121.600Community Living and Supportive Services-
84 000 I IUrban Delivering our Services Standard of Care Workload Community Fundina to provide staff relief - - - - 84000Social Worker to support disabilities area disabilitiescaseload, neglected adults and alternate family care-
Community Living and Supportive Services· I consistent with 06-07 request minus 1 new position whichUrban Deliverino our Services Standard of Care Workload CommunitY commenced Oel 06. 4.00 269216 - - - 17600 286816
Community Children Services Deliverinn our Services Standard of Care Workload Community Clerk Tvoist 111 ~CYFS 2.00 93,432 14.000 107,432
CommunitY Children Services CommunitvCurrently operating at 4.0 SW I FTE's above budget
Deliverino our Services Standard of Care Workload allocation 4.00 314844 20000 334644
Community Children Services Deliverinn our Services Standard of Care Workload CommunitY CYFS - overtime shortfall 100.000 100.000
Community Children Services Delivering our Services Standard of Care Workload Communitv CYFS - relief cost shortfall 265.000 285.000
CommunitY Children ServicesDirect Client costs increase due to increased number of I I IDeliverinc our Services Standard of Care Workload Communitv Social Workers 50000 50000
1111~006
CIHRT Exhibit P-0769 Page 20
- -----~
Eastemi n 2007~8 hemes,
CommunitY Children Services Deliverino our Services Standard of Care Workload Communlht Document Server-CYFS 1.00 57.264 3.500 60.764
Community Children Services Delivering our Services standard of Care Workload Communitv File Disclosure Coordinator-CYFS 1.00 57.264 3.500 60.764
Communitv Children Services Deliverinn our Services Standard of Care Workload Communitv Pronram Manaaers- CYFS 4.00 378.346 22.200 400.546
Community Children Services Deliverinn our Services Standard of Care Workload Communitv Social Work Assistanls-CYFS 6.00 356.661 61.200 417.861
Community Children Services Deliverinl"l our Services Standard of Care Workload Communitv Social Worker 1-CYFS 14.00 1.101.955 66.300 1.168.255
.Community Children Services Delivering our Services Standard of Care Workload Community Social Worker II-CYFS 2.00 175.291 200400 195691
Dellverino our Services CommunitYContinuing Care Social Work Services-Proposal completed
Community Health & Nursing Standard of Care Workload in January 2005 which recommended 2.5 FTE's 2.50 194895 12745 207640
Occupational Therapy Services- Caseloads are increasing;
Commun itureferrals are more complex and clients are housebound and
Community Health & Nursing Delivering our Services Standard of Care Workload unable to access hospital outpatient services 1.00 77958 5098 83056Physiotherapy Services-- Caseloads are increasing: referrals
Communituare more complex and clients are housebound and unable to
Community Health & Nursing Delivering our Services Standard of Care Workload access hospital outpatient services 1.00 77 958 5098 83056
Deliverino our Services CommunltvRegion-wide increased need for clinical consultation,
Mental Health &Addictions Standard of Care Workload coordination and supervision 3.00 225000 29 DOD 254000
Deliverino our Services CommunilvSpan of control issues for management or rural and urban
Mental Health & Addictions Standard of Care Workload for Eastern's Mental Health & Addictions 2.00 170000 10000 160000
CYFS/Adoptions-Rural Eastern Deliverinn our Services CommunitYAssessment Social Workers (Burin, Whitbourne, Clarenville,
Standard of Care Workload Hr.Grace. Bonavista) incl. travel/allowance 2.00 151052 17500 168552
CYFS/Adontions~RuralEastem Deliverinn our Services Standard of Care Workload Communitv Professional Development Costs 60.000 60.000
CommunilvProgram Managers (BonavisalBay Roberts) including
CYFS/Adootions-Rural Eastern Delivering our Services Standard of Care Workload travel/allow 1.00 90348 7 ODD 97348
CYFS/Adootions-Rural Eastern Deliverina our Services Standard of Care Workload CommunitvI~.cial Work Students (9 students for 20 weeks
69300 5000 7430010Ihr+10%benefits)
CYFS/Adoptions-Rural Eastern Deliverina our Services Standard of Care Workload Communitv Social Worker (post adoptions-children) St. John's 1.00 70.724 3.500 74.224Social Worker Assistants (1 FTEBurin,.5FTEClarenville,.5FTEBonavista, 1FTE
CYFS/Adootions-Rural Eastern Deliverino our Services CommunitvWhitbourne,1FTE Hr. Grace, ,5FTE Bay Roberts) Inc.
Standard of Care Workload traveUallowance 2.00 109436 15750 125186
CYFS/Adootions-Rural Eastern Delivering our Services Standard of Care Workload Communltv Social Worker II (Burin) includes travellallow, 1.00 80.229 3500 83.729
CYFS/Adootions-Rural Eastern Delivering our Services standard of Care Workload Communilv WPEO eSI.John·sNVhfibourne) 1.00 37.847 7.000 44.847
CYFS/AdoDtions-Rural Eastern Deliverina our Services CommunitYWPEO's(.5FTE Burin, 1FTE Clarenville, 1FTE Hr, Grace,
Standard of Care Workload .5FTE Bav Roberts. 1FTE Whitbourne 2.00 75694 14 DOD 89694
CYFS/Adoolions-Rural Eastern Deliverina our Services Standard of Care Workload Communitv Renional Travel CostfAliowances 31.796 31.796Integrated Health Services Community-
CommunifvPermanent funding for 024 FTE Lab Assistant, St. Mary's
Rural Avalon DeliveTinn our Services Standard of Care Workload and Mt. Carmel Medical Clinics 0.24 12000 - - 6000 18 DODIntegrated Health Services Community-
Deliverina our Services CommunitvRural Avalon Standard of Care Workload Relief costs for 34 FTE Community Health Nurses - 150 DOD - - - 150 DODAlternate Family Care Home Program has been challengedwith recruitment and training needs as well as increased
Long Term Care & Supportive Services-Communilv
complaints, investigations and management of challengingRural Avalon Delivering our Services Standard of Care Workload behaviors 0.50 34225 - 6000 40225
Home Support· Standards -Additional staffing resources areLong Term Care & Supportive Services·
Communilvnecessary to comply with the Home Support Program
Rural Avalon Delivering our Services Standard of Care Workload Ooerational Standards issued in November 2005 1.00 51000 - 2500 53500Personal Care Homes - AG Report -Additional staffingresources are necessary to comply with the licensing and
Long Term Care & Supportive Services- monitoring component of the Personal Care Home ProgramRural Avalon Deliverinn our Services Standard of Care Workload Community Operational Standards issued in Julv 2006 4.50 281600 - 11 SOD 293100
Int. Health Services ClarenvillelBonavista Delivering our Services Standard of Care Workload Communifv FAO Burin Peninsula to meet new home suoport standards 1.00 51.000 6.000 57.000
Int.Health Services communitv-Peninsulas Delivering our Services Standard of Care Workload CommunitY Sick Relief-no relief in current budaet 75.000 75.000
lnt.Health Services Community-Peninsulas Delivering our Services Standard of Care Workload Communitv Re ional Travel 5.500 5.500
LTC - Agnes Pratt Deliverina our Services Standard of Care Workload J:Q!!9 Term Care Materials ManaJ:lementVacation Relief 3.500 - - 3.500
LTC-Agnes Pratt Deliverinn our Services Standard of Care Workload Lonn Term Care Recreation - - 2500 2 SOD
Deliverina our ServicesIncrease Volumes in Placement Services (Increase number
LTC - SI. John's Standard of Care Workload Long Term Care of Personal Care Home Beds) 2.00 145456 - - 2000 147456
LTC ~ St. John's Delivering our Services Standard of Care Workload Lonn Term Care Music Theraoist or Recreation Soecialist (St. Luke's) 0.50 31.020 - - - 31.020
LTC - St. John's Deliverinn our Services Standard of Care Workload Long Term Care Nurse Practitioners esp. SL.GL & MPl . 3.00 227.700 - - - 6.000 233.700
LTC - St. John's Deliverina our Services Standard of Care Workload Lona Term Care Occuoational Theraoist (GlenbrooklHECl 1040 I 94.080 - - 94.080
LTC· St. John's Delivering our Services Standard of Care I Workload Lonn Term Care Phvsiotherapv Worker (HECl 1.00 43.800 - - - 43.800
LTC - SL John's Deliverinn our Services Standard of Care Workload Lonn Term Care Phvsiotheraoist (HEC) 1.00 67.200 - - - 67.200
LTC - St. John's Deliverinn our Services I Standard of Care Workload Loon Term Care IRecreation Thera...... S....ecialist (HEClMasonic Park 1.00 54457 - I - - - I 54457
11M4I2006
CIHRT Exhibit P-0769 Page 21
l et Submission 2007-08; , ,
Easte hemes
LTC ~ St John's Deliverina our Services Standard of Care Workload Lona Term Care Recreation Therapv Worker (St. Palrick'sJHEC) 2.00 79.704 - - - 79.704
LTC ~ St, John's Delivering our Services Standard of Care Workload Lona Term Care Relief ~ Occupational Therapy ( 12 weeks - All Sites) 15484 - - - - 15484
LTC ~ Sl John's Delivering our Services Standard of Care Workload Lona Tenn Care Relief - Physiotherapy (16 weeks - All Sites) 20 680 - - - - 20680
LTC - SI. John's Celiverinn our Services Standard of Care Workload Long Term Care Relief. Physiotherapy worker ( 4 weeks· HEC) - 3394 - - 3394
LTC· St. John's Deliverinr'l our Services Standard of Care Workload Lona Term Care Relief - WPEO (4 weeks - Placement Services 3 067 - - - - 3067
LTC ~ St. John's Deliverina our Services Standard of Care Workload Long Term Care Resident Escorts 36 000 - - - - 36000
LTC - St John's Deliverinn our Services Standard of Care Workload Lana Term Care Staffina Clerk· Masonic Park 0.50 19.926 - - - - 19.926
LTC - St. John's Delivering our Services Standard of Care Workload Long Term Care TravellMeetina Expenses - - - - I - 10000 10000
LTC· St.Luke's Oeliverina our Services Standard of Care Workload Long Term Care Add 1,0 FTE Domestic Workerrrrades workerlStorekeel'ler 1.00 45.601 - - - 45.601Clerk III position to provide staffing, scheduling, and payrollfunctions currently performed by LTC nurse managers
Long Term Care & Supportive Services- enabling them to focus on essential management functionsRural Avalon Deliverino our Services Standard of Care Workload Lon!=! Term Care and leadership roles 1.00 37244 - - 37244
Clerk III position to provide staffing, scheduling, and payrollfunctions currently performed by all managers enabling them
Lona Term Careto focus on essential management functions and leadership
Pentecostal Home Deliverina our Services Standard of Care Workload roles 1.00 50 000 - - - 50 000
Pentecostal Home Deliverinn our Services Standard of Care Workload Lona Term Care Increase in Nursina Department Overtime - 8500 - - 8500
Pentecostal Home Deliverinn our Services Standard of Care Workload Lona Term Care Increase in Nursina Sick Relief - 10 000 - - - 10 000Increase LPNIPCA coverage 4 hours/day i.e. early evening IPentecostal Home Deliverina our Services Standard of Care Workload Lona Term Care shift 0.75 38 000 - 38000
Pentecostal Home Delivering our Services Standard of Care Workload Lona Term Care Increased travel costs re: networkinQ within reaion - - I - 5000 5 000
Pentecostal Home Deliverina our Services Standard of Care Workload Lonn Term Care A ina staff and increased number of retirements - 40 000 - 40 000
Environmental Services Deliverina our Services Standard of Care Workload Suooort Increased workload on staffin!=l clerks at Sl Clares 1.00 43,945 43,945
Environmental Services Deliverino our Services Standard of Care Workload SUDDort Reduced workload due to closina Waterford recvclina (0.50) 118.716) 118716
Financial Services Deliverina our Services Standard of Care Workload SUDDort Financial Assessment Officer 0.40 24,000 24.000increase 1.0 FTE Housekeeping dept as original position has
43200~lLaundrylDletaIV-Rural Avalon Delivering our Services Standard of Care Workload ~Dort been dedicated to Dialvsis unit onlv 1.00 - 43200
Infrastructure Services Deliverino our Services Standard of Care Workload Support Truckina of snow due to loss of space HSC/Janewav 100.000 100,000
Pastoral Care Deliverino our Services Standard of Care Workload SUDODrt Extension of oastoral care clinician positions 1.00 55,000 55.000Professional Practice ConSUltant responsIble for Long Term
Nursing Services Develooment Deliverina our Services Standard of Care Workload Sunnort Care 1.00 80 000 80 000
Communications Oeliverinn our Services Standard of Care Workload SUDoort Computerlworkstation and Araohic deslon software I 7.000 7.000
HR Client Service Deliverinl'l our Services Standard of Care Workload SUDOOrt MUN Work Term Student-Summer Relief 5,000 5,000
Information Mgmt &Technolo9y. Deliverino our Services Standard of Care Workload SUDDOrt Clerk [v·Telecommunication Services 1.00 50.000 6,000 56.000
Deliverino our Services SUDDortomputer ;::iUppOrt ec MlClan tt" elpoeSK;) anc ....ompu er
Information Mgmt &Technology' Standard of Care Workload Suoport Soecialist (SecuritY 1.00 62000 9 000 71000HSC & SCM Endoscopy • Increased volume and more
Ambulatory CarelEmergen~ Deliverina our Services Standard of Care Workload Tertiarv strinnent infection control standards· 1.0 LPN 1.00 42500 16 000 58500HSC Ophthalmology· Renovations will allow 2ophthalmologists to operate clinics 5 daysfweek - 0,5 FTeClerical support and additional MIS supplies required. FMM
Ambulatory CarelEmernenr.v Celiverinn our Services Standard of Care Workload Tertiarv Related 0.50 17500 20 000 37500
TertiaNIncrease in relief budget in AmbulatorylEmergency
Ambulatory CarelEmergenr.v Deliverinn our Services Standard of Care Workload Department to reflect actual usaae 200 000 200~
Increase the interfacility transport unit hours from 8 - 12Ambulatory CarelEmerg!!!fY. Delivering our Services Standard of Care Workload TertiaN hours/day x 5 davslweek 120 55000 2500 1000 58500
Ambulatory CarelEmergency Deliverina our Services Standard of Care Workload TertieIV Relief position for Site Clinical Coordinator 0.60 40,000 40.000SANE - additional funding required for training, relief, travel,
Ambulatory CarelEmernenev Deliverina our SelVices Standard of Care Workload TertiaIV court time, rape kits, druQs. and eQuipment 11000 5.000 5 000 21000SCM ER -Inadequate relief budgets for amount of leave
Ambulatory CarelEmeraenev Delivering our Services Standard of Care Workload TertiaIV earned 125 000 125 000
Cardiac/Critical Care Delivering our Services Standard of Care Workload TertieIV Dietician - SCM CCU 0.50 35.000 35.000
Cardiac/Critical Care Deliverina our Services Standard of Care Workload TertiaIV Occupational Therapist SSAlRehab 1.00 65.000 65.000
Cardiac/Critical Care Deliverina our Services Standard of Care Workload Tertiarv Phvsiotheraoist - Cardiac Rehab 1.00 65.000 65.000
CardiaclCritical Care Delivering our Services Standard of Care Workload Tertiarv Respiratory Theraoist ICU SCM 1.00 65.000 65.000
TertiaIVDue to increased workload in HSC Neurology requesting 1.0
Medicine Delivering our Services Standard of Care Workload QT, 0.5 SLP. 0.5 Pavroll Clerk 2.00 118000 118000
TertiaIVProvincial Genetics ~ New Geneticist requiring 1.0 Secretary, IMedicine Delivering our Services Standard of Care Workload and additional fundinlJ for referred out testino 1.00 39 000 82 000 121000
Medicine Deliverina our Services Standard of Care Workload I TertieIV SalaN under funded for Clinical Chief 13800 I I I I 13800
1111412006
CIHRT Exhibit P-0769 Page 22
·Medicine I Delivering our Services Standard of Care Workload Tertlarv SCM 7 West -.Q.&.~_'l!.~is~ant 0.50 22.500 22.500 .
Surg~ I Deliverin: our SeNice. Standard of Care Workload Tertiarv AAHP ~ 0.5 CT. 1.0 SW. 0.5 SW Assistant 2.00 120.000 120.000
~!!Y. Deliver!n our Services Standard of Care Workload Tertiarv EQuipment Rental NAC. Beds) 75.000 75.000
~g!!y' Delivering our Services Standard of Care Workload TertiaN Fundinn rer'lulred to adeauatelv staff current bed utilization 100.000 100.000 30.000 230.000
.§yrg!!Y. DellverinCl our Services Standard of Care Workload Tertiarv NAPE • MSA CSt Clare's) 0.50 25.000 25.000
§.!ll:Q!!Y. Delivering our Services Standard of Care Workload TertiaIV NLNU - Nurse I's 1.00 75.000 75.000
.§!!r9ID Delivering our Services Standard of Care Workload TertiaIV Nurse Practitioner 1.00 75.000 75.000Occupancy increases - increase requirement in worked
Surgm Delivering our Services Standard of Care Workload TertiaIV hours 225000 225000
.QI!g~9!!!g Deliverina our Services Standard of Care Workload Tertlarv Due to increase service Volumes 1.00 69.000 69.000
.Q.!!gnostic lmagl!!g Delivering our Services Standard of Care Workload Tertiarv Uniforms Central Porterino 5.000 5.000
Laboratory Services Delivering our Services Standard of Care Workload TertiaIV Patholoav - Increase cancer sur!=lerles 1.00 50.000 15.000 65.000
Laboratory Services Delivering our Services Standard of Care Workload TertiaIV Urinalysis Contractiworkload~RA 1.00 36.000 20.000 56.000
Medical Services Delivering our Services Standard of Care Workload Tertiarv Janewaveve clinic staffinCl BudClet Shortfall) 1.40 113,244 113244
Medical Services Delivering our Services Standard of Care Workload TertiaIV Staffin!=! increases for secretarial support 2.00 I 79,400 79,400
Pharmar.v Oelivannn our Services Standard of Care Workload Tertiarv Tech to prepare cherne/order entry 1.00 38.000 38.000
TertiaNEPI's (Electronic Port Imaging), Port Films, Treatment Field
Cancer Care Deliverino our Services Standard of Care Workload and Patient visits 17 000 17000
Cancer Care Deliverina our Services Standard of Care Workload TertiaIV Increase in Radiation TherapvTreatments 135.000 135.000
Cancer Care Deliverinn our Services Standard of Care Workload TertiaN Secretarial Support for PhYSicians 1.00 40.000 40.000
Childrens-Womens Health DeliverinCl our Services Standard of Care Workload TertiaIV Increased druo and other supplv costs for Obstetrics I 18.000 14.000 32.000Occupational Therapist to address volumeslwait times in the
Childrens-Womens Health Deliverino our Services Standard of Care Workload Tertiarv Development and Leamin!=l Division 1.00 77 000 77 000
Childrens-Womens Health I Delivering our Services Standard of Care Workload TertiaN Public demand and waitlist in Neuromotor Outpatients SLP 1.00 80.600 I 80.600
Childrens-Womens Health I Oeliverina our Services Standard of Care I Workload TertiaN Second Dentist reauirincr extra MIS supplies 14.000 14.000
Childrens-Womens Health Deliverina our Services Standard of Care I Workload TertiaIV Specialty Sur ical Nurse to address wound care etc. 1.00 75.000 75.000
Rehabilitation Program Deliverino our Services Standard of Care Workload TertiaN ChanQe in Contract with WHSCC for CPOM 200.000 200.000
I Increased LOS - 40% above database ~ need dedicatedMental Health & Addictions Delivering our Services Supoort Better Practice Acute Care MCAP Nurse 1.00 75000 75000
Int. Health Services Clarenvillel80navista Deliverino our Services Suooort Better Practice CommunitY CRMS ..sW resource for CRMS implementation 0.50 34.205 3.500 37.705
LTC· St. John's Delivering our Services I Sup-Dart Better Practice Lona Term Care LonQ Term Care ~ MOSIRAI Proposal 2.113.450 2.113,450
Rehabilitation Proaram Delivering our Services Suooort Better Practice Long Term Care MOS Implementation· eQuipment and sup lies OVA) 42.000 42.000Renovation required at Interfaith Home to enable utilization of
~lLaundrylOietary - Rural Avalon Deliverin" our Services Sunnort Better Practice Sunnort Re ional Laundrv Services - - - - 10000 10000
Allied Health Services Development Delivering our Services SU200rt Better Practice SUODOrt Professional Staff Development -Additional 240 AAHP staff 38.000 38.000
Quality and Risk Management Deliverino our Services Sucoort Better Practice SUODOrt· Accreditation fundino/survev costs 60.000 60.000
HIS & Informatics Delivering our Services SUlm°rt Better Practice Suooort CIHI Portal Ucense Cost 40.000 40.000
HIS & Informatics Delivering our Services Suooort Better Practice Suooort Electronic Health Record 1.500000 1.500.000
HIS & Informatics Deliverino our Services Suooort I Better Practice Suooort Ucense cost for 3M Rural Avalon 15.000 15.000
HR Client Service Delivering our Services Sumort Better Practice Suooort HRIS - Rollout to Eastern Health lSee Provincial Proposal) 500.000 500.000
HR-Program and Policy Oevelooment Delivering our Services Suooort Better Practice SUDDort Emplovee RecoJ:mition Program 98,400 98.400
HR-Program and Policy Develonment Deliverina our Services SUODOrt Better Practice S'!2DOrt French Services I 15.000 15.000
HR-Program and Policy Develooment Delivering our Services I SUDDDrt Better Practice SUDDDrt Manaoement Cultural SurveyS I 50.000 50.000
HR-Program and Policy Develooment Oeliverino our Services SUI'lnOrt Better Practice Support Mediator for Workplace Harassment 20.000 20.000
HR~Program and Policy Develooment Delivering our Services Sunnort Better Practice Support Professional Staff Development -Distributed Learnin!=! 0.50 37.500 20.000 57.500
HR-Program and Policy Oevelonment Delivering our SeNices SUDoort Better Practice Support Professional Staff Development -General education 200 150.000 5.000 155.000
HR-Program and Policy Develooment Delivering our Services Suooort Better Practice SUDDOrt Professional Staff Oevelopment-HR Pla'nnin!=! 50.000 50.000
HR-Program and Policy Development Deliverina our Services Sunnort Better Practice SUODort Professional Staff Develooment-Mananement I 250.000 250.000
Human Resources Consulting Service Deliverinn our Services Sunnort Better Practice Sunnort NAPE RTW Coordinator 1.00 57.073 57.073
Human Resources Consulting Service Oeliverinn our Services
ISupport Better Practice SUODort NursinQ RTW Co-ordinator 1.00 79,420 I 79,420
Human Resources Consultino Service Deliverinn our Services Sunnort Better Practice Support Occuoational Health Phvsician 0.50 150000 I 150000
1111412006
CIHRT Exhibit P-0769 Page 23
·Human Resources Consultincr Service Deliverina our Services SUDcort Better Practice SUODort Referred out D&TIFAF feesJEFAP increase 25.000 25.000
Information Mgm' &Technologv Delivering our Services SUDoort Better Practice SUoDart Communications 180.000 1BO.OOO
lnformation..,Mgmt &Technolo9y. Deliverina our Services SUPDort Better Firactice SUDDort Data Communications Links 60.000 60.000
Strategie Planning Deliverina our Services Supoort Better Practice Sunnort Library Subscription 30.000 30.000
Suooort SUODortProvincial Emergency Planning and evaluation of
Strategic Plannino Oeliverino our Services Better Practice telecommunications network - 87590 B7590
§!ggeN Delivering our Services SuooDrt Better Practice TertiaIV Database Personnel (Safer Health Care Now) 0.50 25.000 25.000
Laboratory Services Delivering our Services SUDDOrt Better Practice Tertiarv Cross Tralnlna staff for new Core Lab model 45.000 45.000
Laboratory Services Delivering our Services SUDDOrt Better Practice Tertiary Skill trainina and orientation cost 45.000 45.000
Pharmacy Deliverina our Services SUtltlort Better Practice TertiaN Pharmacy Residencv Pronram 60.000 60.000
Pharmacy Delivering our Services SUMort Better Practice TertiaN Pharmacy Student Stipends 24.000 24.000
J:..IQ..:.8gnes Pratt Deliverinr'l our Services SUOtlort Safetv Suooort RenovationsJOrapes - - 4B 000 4B 000
LTC. St. Luke's Delivering our Services SUDDOrt Safetv SUDDOrt Floor ReJ:llacement - - - - 20000 20000
]nfrastructure Services Delivering our Services Sunnort Safe Su ort Asbestos Mana ement 1.00 57.000 202 aDO 289.000
Infrastructure Services Delivennn our Services SUDDort Safetv SUDoort Fire Damper TestinQ as per Nat Fire Prot Ass I 75.000 75.000
Infrastructure Services Delivering our Services SUDDort Safetv SUMort Increase budnet to 0.5% of replacement cost I 2.000.000 2.000.000
Infrastructure Services Delivering our Services Suooort SafatV SUDoort Safety Inspectors for on-site renovation/construction 2.00 134.000 134.000
HR-Pronram and Poli~ Develooment Deliverinn our Services Sunnort Safetv Sunnort Meetinc room furniture 20.000 20.000
Information Mgmt &Technologv Deliverinn our Services Sunnort Safetv Sunnort Hardware Contracts 30.000 30.000
Information ~mt &TechnolOQY Delivering our Services Sunnort Safetv Sunnort PBX Maintenance uPOrades 43.3331 43.333
Information Momt &Technolonv Delivering our Services Support Safetv SUDDort PCM. Coanos. HRIS.Ucence Fees 200.000 200.000
Cardiac/Critical Care I Delivering our Services SUDDOrt Safetv TertiaIV Bed and Echo Service Contract 42.400 42.400
SU~ Delivering our Services SUPPort Safetv TertiaIV Repairs to Ultrasound Eauipment (No warranty) 20.000 20.000
Surgerv Deliverina our Services SUDPort Safetv TertiaIV SeQuential Compression Devices 56.100 56.100
Q@gnostic Imagina Deliverina our Services SUDDOrt Safetv TertiaN Increase in Service Contract Costs 534.539 534.539
Laboratory Services Deliverina our Services Support Safetv Tertiarv Disposals of Chemicals 50.000 50.000
Medical Services Delivering our Services SUDDort Service Demands Acute Care Increase cost for locumsltravellelectricitv 50.000 50.000
Medical Services Delivering our Services SUQf!ort Service Demands Acute Care RecruitmentIRelocation & license fees-Reaional 115.000 115.000
Inst. Health Services Burin Peninsula Delivering our Services SUDDDrt Service Demands Acute Care Increased ReDlonal Travel 3.000 3.000
Int. Health Services ClarenvillelBonavista Deliverino our Services SUDDOrt Service Demands Acute Care Ret:llonal Travel 16.500 16.500
Financial Services Deliverina our Services SUDDOrt Service Demands SUDDort Supplies -Devolution of Provincial Ambulance Service 4.000 4.000
Financial Services Delivering our Services SUMort Service Demands Suooort Travel throuQhout Re!=lion 10.000 10.000
Financial Services Delivering our Services Support Service Demands Sunnort Uoarade printers. scanners. fax machines 65.000 65.000
~lLaundrylOietary- Peninsulas Delivering our Services Sunnort Service Demands SUrlrlort Linen replacement and bottled water costs - 23500 23500
~lLaundrylOietary~ Peninsulas Delivering our Services SUrll'lort Service Demands SUrlrlort Manaoer responsible for laroer aeooraphic area - - 3500 3500
Infrastructure Services Oeliverino our Services SUDDort Service Demands SUDDort Lease costs (new and increased volume) 803,000 803.000HCC Distribution External ¥ Under funded In delivery &courier - offline charges, fuel increases, increased SAP
Materiels Management Deliverina our Services SUDDOrt Service Demands Support clients 210000 210000HCC Laundry - Steam, Electricity. Purchased Service,
Materiels Manaaement Deliverina our Services Suocort Service Demands Support Deliverv & courier. Eauip Maintenance.. Unen supplies 395600 395600
Materiels Management Delivering our Services SUDoort Service Demands Support HSC PrintinQ - MUN purchased service - under funded 44.000 44.000
Pastoral Care Deliverina our Services Sunnort Service Demands SunDort Travel and operations I 10.000 10.000
Allied Health Setvices Develooment Deliverinn our Services SUDDort Service Demands SUDDort NUNMretief 0.30 12.000 I 12.000
HIS & Informatics Deliverinn our Services SUDDort Service Demands Support Travel throuohout ReQion 15.000 I 15.000
HR Client Service Delivering our Services SUDDOrt Service Demands SUDDOrt Clerk IV-Central StaffinQ 1.00 45.499 45.499
HR Client Service Delivering our SelVices SUDDOrt Service Demands SUPDort Job Fairs 60.000 60.000
HR Client Service Deliverina our Services Sunnort Service Demands Sunnort Travel ThrouQhout Recion 20.000 20.000
Human Resources Consulting Service Celiverinn our Services Support Service Demands SUDDOrt Travel throuahout the reDion 30.000 30.000
Information Mamt &Technoloov Deliverinn our Services SUDDOrt Service Demands SucDort Travel throuahout Reaion 15000 15000
1111412006
CIHRT Exhibit P-0769 Page 24
......--;Eastern I, j et Submission -OS hemes , :,
Q@gnostic Imagmg DeliverinQ our Services Support Service Demands TertiaN Tr~vel - Reaiona! Positions 10.000 10.000
Laboratory Services Deliverina our Services Succort Service Demands TertiaN Increase in Service Contract Cost 143.000 143.000
LaboratorY Services Delivering our Services SUDDort Service Demands Tertiatv Travel - Reaional Positions 15.000 15.000
Pharmacy Deliverina our Services SUDDDrt Service Demands TertiaIV Travel throuahout Eastern Health 5.000 5.000
Rehabilitation Program Deliverina our Services SUDDort Service Demands TertiaN PACS Service Anreement I 2.000 2.000Community Living and Supportive Services-Urban Movinn~tem Shiftinn Direction- Gettinn Upstream Community Growth for awareness and uptake for the Autism Service . . - 182 S09 - 182809
Community Health & Nursing Movina our Svstem Shiflina Direction- Gettina UMtream CommunitY Child Health Clinic Immunizations - dose dependent vaccine 1.00 81.120 8.621 87.741
Community Health & Nursing ~~em Shiflina Dlrection- Gettina UMtream CommunitY Clerical Support 1.00 46709 46.709
Movina our SYStem CommunitvHome Care Basket of Serviees - expanded HIVAT (50%
Community Health & Nursing Shifting Direction- Getting Uostream increase) 100 referrals x 14 services each 2.00 162240 84000 91785 7000 345025
Community Health & Nursing Moving~em Shifting Direction- Getting Uostream Communltv Home Care Basket of Services - Pharmacy Tech 1.00 38.000 38.000Home Care Basket of Services - Planning, Education &
Community Health & Nursing Moving our SYStem Shifting Direction- Getting Uostream Community Coordination of Palliative Home Care Proaram 1.00 83405 3500 86905
CommunltvHome Care Basket of Serviees - Post Acute Care Lovonox
Community Health & Nursing Movina our SYStem Shiftlno Direction- Gettino Urn;tream 515 referralsx7 services each 1.00 81120 14543 3500 99163
CommunitYHome Ctlro Baskot 01 Sorvlcos- Coordination of HIVAT &
Communily Health & Nursing Movina our Svstem Shiftina Direction- Getting Uostream Wound Theraov 0.50 41702 41702
Community Health & NursinQ Movina our SYStem Shlftina Direction- GeWne Uostream CommunitY Home Care Basket of Services -Home Palliative Care Pilot 2.00 162.240 39.6251 112.500 316.548 7.000 637.913
Communitv Health & Nursina Movina ourS~em CommunitvHome Care Basket of Services -Negative Pressure Wound
Shiftinn Direction- Gettinn Upstream Therapv 60 referrals x 6 visits each 1.00 81120 15600 73220 169940
Movina ourS~gDirection- Getting Uostream CommunitYSchoollrnmunizations - Dose Dependent Vaccine Coverage
Community Health & Nursing Men C Grade 4 & 9: MMR Catch Up 1.25 101400 101400
Mental Health & Addictions Movina~tem Shiflina Direction- Getting Urn::tream CommunitY ChildlYouth Centralized Intake Pilot 1.00 46.000 I 16.000 62.000
Mental Health & Addictions Movina our SYStem Shfftina Direction- Gettina Uostream Communltv Mental Health Promotion Plan 10.000 I 10.000
Mental Health & Addictions MovinQ our SYStem ShiftinQ Direction- GettinQ Uostream CommunitY Mobile Crisis Response Team Members 2.10 157.500 157.500
Mental Health & Addictions Moving~em Shiftina Direetion- Gettina Urn;tream CommunitY Mobile Crisis Response Vehicle Lease & Gas 15.000 15.000
Mental Health & Addictions Movina~em I Shiftiilll Direction- Getting Uostream Community IStaff Trainina I Education I Orientation I 25.000 25.000
Mental Health & Addictions Moving~em Shiftino Direction- Gettina Uosrream CommunitY West 2A I Stella Burrv Community ReinteRralion Pilot 1.00 75.000 5.000 80.000
PrimaN Health Care Movino our SYStem Shiftina Direction- Getting Un.'l.tream CommunitY Primary Health Care - Coordinators 5.00 516.655 516.655
PrimaN Health Care Moving~em Shiftina Direction- GettingJ:!ostream Communltv Primary Health Care - Nurse Practitioners 6.00 513.378 513.378
Primatv Health Care Moving~tem Shifting Direction· Gettina Uostream CommunitY Primary Health Care ·Administrative SUIJl:lort 4.00 162.464 162.464
Primary Health Care Moving~em Shiftino Direction- Getting Uostream Community Primary Health Care -CommunitY Health Nurses 3.00 238068 238.068
Primary Health Care Moving~em Shiftino Direction- Gettina Ul'Istream CommunitY Primary Health Care -Facllltators 4.00 336.300 336.300
Primary Health Care Moving our SYStem Shiftinc'l Direction- Getting UMtream Communltv Primary Health Care ·IM&T Investments 0.50 25.800 90.000 115.800
Primary Health Care MovinrJ~em Shiflinc'l Dlrection- Gettinc'l Ul'mtream Communltv Primary Health Care -Ooeratinc'l Supplies 411.052 411.052
CommunitYFJrimary Health Care -Physician lead; FFS Physician; "eense
Primary Health Care Moving our SYStem Shiftina Direction· GettingJdE§tream Fees 0.60 297600 297600
FJrimarv Health Care ~~tem Shifting Direction- GettingJ:!estream Communitv Primatv Health Care ·Telehealth Coordinator 1.00 103.331 103.331Travel for School Health Liaison PositionslLactation
Health Promotion ~ourSvstem ShiftlnQ Oirection- Gettinr:l Upstream Communitv ConsultantlReQional Staff 25000 25000Wellness Initiatives -School Health Liaison Consultant-Rural
Health Promotion Moving..£!:!.!..§ys""!!!!!"- ~t'!!fting Direction- Getting Upstream Community AvalonlPeninsulas/St. John's 2.00 140000 15000 155000
Int.Health Services Community~Peninsulas Movina our SYStem Shiftina Direction- Gettina Unstream CommunitY Mental Health Supportive Services, Clarenville 60.000 60.000
lnlHealth Services Communltv~Penlnsulas ~~em ShiflinCl Direction- Gettin9J!P.:stream Communitv Mental Health/Addictions Intake Social Worker, Burin 1.00 76.529 I 3,500 80.029Integrated Health Services Community-
Movina our System I Shifting Direction- Gettina UostreamRural Eastern Community Home Care Basket of Services - PharmacY Tech 0.50 19.000 1.520 20,520Integrated Health Services Community-
CommunityHome Care Basket of Services -Clinical Co-ordinator to
Rural Eastern Movino our SYStem Shifting Direction- Gettino Uostream support expanded home care services 1.00 83405 · 10000 S3405
Home Care Basket of Services -Community Health Nurses toIntegrated Health Services Community-
MovinQ our SYStem Shifting Direction- Getting Uostream Communityallow implementation of a Rural Eastern pilot project re the
Rural Eastern expansion of home care serviees to the community 10.00 811200 150000 45000 205000 1.211.200Integrated Health Services Community-
Movinn our S~em CommunitY 10.000 IRural Eastern Shiftina Direction- Gettina Uostream Home Care Basket of Services-Clerical Support 1.00 38.523 · 48.523
LTC - Sl John's Moving~tem Shiftina Direction- Gettina Uostream Lona Term Care Glenbrook Lodoe Dav Proj:lram . 300 000 - · - 300000
LTC - 51. John's Movino our Svstem Shifting Direction- Getting U~tream Lona Term Care Seniors Dav Care St. Lukes -Include Saturday . 23000 · . 23000
Ambulatory CarelEmergencv TertiaN0.5 RN for transplant patients receiving assessments via IMovina our Svstem Shiftina Direction- Gettina Urn::tream videoconferencinj:l 0.50 32500 32500
Allied Health Services Develonment Movine our Svstem I Shiftina Dlrection- Gettine Uostream TertiaNNewborn Hearing Screening - Audiologist, Audiology
ITechnician 2.00 107000 107000
11/1412006
CIHRT Exhibit P-0769 Page 25
,-~.~---~-I
Eastern f. Submission 2007-08 emes
Nutritional counseling post genetic referral (prophylactic~ suraerv) 0.50 35.000 1.000 36.000
Tertiarv Lactation Consultant to address aopropriate coveraae 1.00 75.000 75.000
Regional Clinical Efficiency Facilitators for Burin, Clarenville,Acute Care and Rural Avalon and office set UP and supolies 3.00 223200 15.000 238200
SUrlDort Eastern Health Forms 10.000 10.000HCC Printing. under funded in paper, printing supplies,
Sunnort photocooyinl'1. postane. rentaillease of eQui ment 202 000 202 000HR. Consultant/Clerk IV MGMTJlv1ug
Support Restructurino/CtassificationlReclassification 2.00 120021 120.021
SUODort HR Consuitant-Pavrollintearation 1.00 76.758 76.758
Sunrlort 10 Supplies 12.000 12.000
SUDDort HR Consultant 1.00 70.970 70.970
SUDDOrt Overtime for Consolidation 60.000 60.000
CommunitvAssertive Community Treatment (ACT) Team (St. John's)·Recruit in Third Quarter 9.00 320 000 140 000 460 000
CommunitYAssertive Community Treatment Team (Rural) • Recruit inThird Quarter 5.50 185 000 89000 284000
Communitv Home Support (Supportive Care) - ACT Teams 180.000 180.000
Communitv Housinn Support- ACT Teams 15.000 15.000
SUDDort Pandemic Plannina 4.00 816.000 691.762 1.088.500 2.576.262
Public Health Capacity-Inability to meet program criteria inHPP due to enhanced vaccination schedule requirements
communitv and devolution of all immunizations bv phvsicians 3.00 245427 18 000 263427Public Health Capacity -Nurses (Bonavista, Clarenville,
Community Burin) 3.00 222327 19500 241827
Additional 6 FTE's - Medical Flight Specialists to become a 2-Tertiarv member team for Medical Air Ambulance transports. 6.00 420 000 80 000 500 000
Dialysis - Travel subsidy for Dialysis patients -Funding isrequired to resource this new program announced by the
Acute Care DHCS Julv 2006 251160 251160Dialysis Burin -Orientation start~up costs for Feb 07 (1.6 RN's
Acute Care .4 Domestic) 62556 62556Dialysis 8urin~Operating Costs 07108(11 months for 4
32~800Acute Care patients-1.S RN's .4 Domestic) 2.20 178968 25 920 15700 253388St. Lawrence - Open 10 LTC beds at US Memorial (5.61 RN,
Lonn Term Care 21aundrv worker..2 FSW1) 621 3n301 60 000 15 000 50500 502801
Grand Total 375.01 29.165.948 3391160 2604847 7665561 18439789 61379747
Transition
Transition
Transition
Shiftina Direction- Gettina UDStreamMovina our Svstem
Ambulatorv CarelEmeraenr:v Provincial Commitment
Long Term Care &Supportive Services-Rural Avalon Provincial Direction
Inst. Health Services Burin Peninsula Provincial Direction
lnst Health Services Burin Peninsula Provincial Direction
Inst. Health Services Burin Peninsula Provincial Direction
Int.Health Services Communttv·Peninsulas Provincial Commitment
strategic Plannina Pendinc Issues
Integrated Health Services Community-Rural Avalon Provincial Commitment
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HR Client Service
Cancer Care
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CIHRT Exhibit P-0769 Page 26
CIHRT Exhibit P-0769 Page 27
Eastern Health -Budget Submission 2007-08(Portfolio)
a enCommunity Living and Supportive Services-Urban 0.00 194,510 194,510 Access a Forced IssueCommunity Living and Supportive Services-
3 Alice Urban FAO to im lement the new Home Su ort Standard 2.00 121,600 121,600 2.00 a Forced IssueProjected increase in Program Budget at 7 % -Program
4 Bev Communit Children Services Bud ets 790,000 4 790,000 Access a Forced IssueDialysis - Travel Subsidy for Dialysis patients -Funding isrequired to resource this new program announced by the
5 Fa Services DHCS Jul 2006 0.00 251,160 28 251,160 Access a Forced IssueIncreased Staffing Needs: Home Support - Standards -Additional staffing resources are necessary to comply with theHome Support Program Operational Standards issued in
6 Fa Services November 2005. 1.00 53,500 24 53,500 a Forced IssueAnticipated change in policy: Financial responsibility re:portable oxygen for residents, medical transportation of
7 Fa Pentecostal Home residents, funeral ex enses. 0.00 51,000 29 51,000 a Forced IssueSeverance pay increases re:aging staff and increased number
8 Fa Pentecostal Home of retirements 0.00 40,000 29 40,000 a Forced IssueLease costs (new and increased volume); Trucking of Snow at
9 Geor e Infrastructure Services Health Sciences Com lex 903,000 903,000 a Forced IssueHSC Stores- 20% Increase in SAP Clients - delays in client
10 Geor e Materiels Mana ement deliveries 1.00 39,333 39,333 1.00 Accountabili a Forced IssueDue to charging loan repayment for scopes to operating fund
11 Louise and not ca ital as er rior ears 181,000 181,000 Accountabili a Forced Issue12 Louise Bed and Echo Service Contract 42,400 42,400 a Forced Issue13 Louise Sala under funded for Clinical Chief 13,800 13,800 a Forced Issue14 Louise Burrs & Blades ENT, Plastics & Ortho -Sin Ie Use 200,000 a Forced Issue15 Louise Intravenous Pum s 500,000 500,000 a Forced Issue16 Oscar Services Increase in Service Contract Costs 677,539 677,539 a Forced Issue
Increased Flow Cytometry/Renal Patients - Change in practiceas a result of clinical practices followed by Halifax Hospital
17 Oscar Laborato Services which must be continued when Patients return to NL 1.00 60,000 60,000 1.00 Accountabili a Forced Issue
( . Oscar Laborato Services Dis osals of Chemicals 50,000 Accountabili a Forced IssueDrugs cost increases: Velcade Clinical Guideline changes andAntibiotic cost increases as a result of Clinical Pharmacy
19 Oscar Pharmac vacancies 1,000,000 1,000,000 Access a Forced Issue
Med Reconciliation (Burin),Med Reconciliation Clarenville,20 Oscar Pharmac additional bedsMed Reconciliation Carbonear 3.00 164,500 164,500 3.00 a Forced Issue
St. Lawrence - Open 10 LTC beds at US Memorial (5.61 RN,21 Pat CoS lnst. Health Services Burin Peninsula .2laund worker, .2 FSW1 6.21 502,801 46 502,801 6.21 a Forced Issue
22 Pat CoS Int. Health Services Clarenville/Bonavista FAO Burin Peninsula to meet new home su ort standards 1.00 57,000 54 57,000 1.00 a Forced Issue23 Pat CoS Int.HS/Bonavista/Burin Peninsula/Community CRMS-Peninsulas 3.00 217,699 55 217,699 3.00 a Forced Issue24 Pat P Qualit and Risk Management Accreditation fundin /survey costs 60,000 60,000 a Forced Issue
PACS Service Agreement, Cross Training for Lab Tech Bell25 Pat P Rehabilitation Program Island 5,600 5,600 a Forced Issue
26 Steve HIS & Informatics License cost for 3M Rural Avalon, CIHI Portal License Cost 55,000 55,000 a Forced Issue27 Steve HR Client Service ,IDSu lies 12000 12,000 a Forced Issue
CIHRT Exhibit P-0769 Page 28
Eastern Health -Budget Submission 2007-08(Portfolio)
Hardware Contracts, PBX Maintenance upgrades, PCM,Cognos, HRIS,Licence Fees; Data Communications Links,
2lf Steve Information M Communication 513,333 513,333 0 Forced Issue
29 Steve Information M Overtime for Consolidation 60,000 60,000 0 Forced Issue
Music Therapist or Recreation Specialist (St. Luke's), ResidentEscorts, Physiotherapy Worker (HEC), Recreation TherapySpecialist (HEC/Masonic Park), Physiotherapist (HEC),Recreation Therapy Worker (St. Patrick's/HEC), Occupational
30 Alice LTC - St. John's Thera ist GlenbrooklHEC 6.90 406,261 406,261 6.90 Ga
Relief budget for Respiratory Therapy department and 34 FTECommunit Health Nurses 0.00 153,000 153,000 Access
Increase of 0.5% of re lacement cost 2,000,000 30 2,000,000 Accountabili
Beds - Pro osed 0 ennin of 9 Beds- Adult Acute Care 13.00 1,000,000 75 1,000,000 13.00 Access
Tech to prepare chem%rder entry& Tech check Tech, Tech34 Oscar Pharmac Order Ent Ex ansion Clarenville 7.00 266,000 266,000 7.00 Access Access
Enhancement of Rehabilitation Care Program-Burin Peninsula- 1.0 FTE physiotherapisU1.0 FTE Physiotherapy Support
35 Pat CoS Inst. Health Services Bur Pen/ClvllBon Worker, OT Bonavista 3.00 213,669 44 213,669 3.00 Access Access
36 Pat P Cancer Care Linear Accelerator staff, 3 RT's, 1 .0 Su ort New bunkers 4.00 242,000 242,000 4.00 Access Access
Orientation costs for Nurses; LPNs and PCAs in Tertiary,37 Re ional Regional Acute, Communit and LTC sectors 886,235 886,235 Accountabll' 1
38 Steve HIS & Informatics Electronic Health Record 1,500,000 62 1,500,000 Accountabili 1 ort
39 Alice LTC - St. John's Clinical Educator - LTC 1.00 74,240 74,240 1.00 Accountabil' 2 ort
Permanent funding for 0.24 FTE Lab Assistant, St. Mary's and40 Fa IHS Communit Mt. Carmel Medical Clinics 0.24 18,000 18,000 0.24 Access 2
41 Geor e Environmental Services Increase standard of c1eanin washrooms - Cit Hos itals 3.50 137,705 137,705 3.50 Accountabil' 2 ort
To increase ambulance resp'onse time to meet new standardsrequire additional crew and expanded hours for interfacility
42 Louise Ambulato trans ort unit 4.40 216,500 33 216,500 4.40 Access 2 Access
Due to increase services- Pathology for Cancer Surgeries &Blood Collection Bonavista Blood Collection/Urinalysis
( Oscar Laborato Services ContracUworkload-RA 3.60 374,300 181,300 193,000 3.60 Access 2 Access
44 Pat CoS Int. Health Services Clarenville/Bonavista Addition of 5 transition beds for Golden Hei hts Manor-1 r 4.40 205,854 47 205,854 4.40 Access 2 Access
AAHP staff: SW, Diet - Central, Western, Cancer Centres,45 Pat P Cancer Care Nutrional Counsellin9-.\lenetic cancers 3.00 212,000 212,000 3.00 Access 2 Access
HR ConsultanUClerk IV MGMT/MugRestructuring/Classification/Reclassification, HR Consultant-
46 Steve HR Client Service Pa roll Inte ration; Clerk IV -Central Staffing 4.00 242,278 64 242,278 2
Home Support Coordinator to consulUadvise staff, reviewhome support requests and authorize home supportexpenditures ( new initiative to streamline process and allow
Community Living and Supportive Services- managers to focus on management functions and to promote47 Alice Urban consistent ractice across re ion 2.00 158684 158684 3 S stem Su ort
CIHRT Exhibit P-0769 Page 29
Eastern Health -Budget Submission 2007-08(Portfolio)
( Advanced/Specialty Nursing: Regional Clinical Educator tospecifically meet advanced and specialty education needs forRural Avalon and assist with core programs. Reinstatement ofGerontology Nurse position to provide direct clinical care andconsistent follow-up in areas such as wound care, advancedfoot care, and vaccination programs. Regional Clinical NurseSpecialist to strengthen gerontological nursing practicethrough clinical expertise, education, and research and
46 Fa Services /IHS Institutions / Pent ro ram develo ment 3.00 216,520 17 216,520 3.00 3 GaBurin CSR - Scope reprocessing in Special Procedures -
49 Geor e Materiels Mana ement absorbed two da s er week, now increased to four 0.50 16,000 16,000 0.50 Access 3 Access
50 Louise Perio erative Dr. Blair Williams (new Ophthalmolog Sur eon FMM Related 0.50 387,500 387,500 0.50 Access 3 AccessSkill training and orientation cost,Tech II Utilization BloodProducts,Quality Assurance - Tech III,POCT Tech III (Point of
51 Oscar Laborato Services Care Testin ); Cross training for Core Lab 3.00 255,000 255,000 3.00 3 GaIncrease in endoscopic procedures performed (colonscopes &
52 Pat CoS Ins1. Health Services Burin Peninsula astrosco es 0.60 69,740 41 69,740 0.60 Access 3 AccessBreast Cancer Disease Co-ordinator (ERPR), Home Infusion
53 Pat P Cancer Care Program 2.00 467,900 60 467,900 2.00 Access 3 GaProfessional Staff Development-HR Planning,DistributedLearning,General Education,Management, Management
54 Steve Cutural Surve s 2.50 562,500 68 & 71 562,500 2.50 AccQuntabili 3
55 Alice New Ca ital Limits/Minor E ui ment Re uirements 0.00 100,000 100,000 AccQuntabili 4
Increased Staffing Needs: Alternate Family Care HomeProgram has been challenged with recruitment and trainingneeds as well as increased complaints, investigations andmanagement of challenging behaviour. A half-time position isrequested to meet those demands. Placentia Health Centrerequests an increase in a part-time LPN position to full-time to
56 Fa Services /IHS Institutions im rove h sician efficienc and accessibilit . 1.00 62,225 23 62,225 1.00 AccQuntabili 4 Ga
~Building Safety: Asbestos Management, Fire Damper Testing,Safet Ins ectors 3.00 478,000 478,000 3.00 AccQuntabili 4Bariatric Sur ery (Post-Surgical Program 1.50 115,000 115,000 1.50 Access 4Neuro-coiling Pro osal 2.00 560,000 560,000 2.00 Access 4
60 Pat CoS Nurse Managers (evenings/weekends 3.20 319,474 43 319,474 3.20 4
61 Pat P Access Issues: SW -Palliative Care & Bell Island 1.07 76,000 76,000 1.07 4Occupational Health Physician; Nursing & Nape RTW
62 Steve Human Resources Consultin Service Coordinator 2.50 286,493 286,493 2.50 4 ort
Home Supports - Physically Challenged -Community inclusionfunds - transportation and inclusion activities with disabilities.(631 clients @$75/month x 12 months) Home Supports-Physically Challenged-Funding for dental services forindividuals with physical and developmental disabilities,
Community Living and Supportive Services- excluding Right Futures and AFC clients who are already63 Alice Urban funded. 1115 clients $200 annuall 0.00 790900 790900 5 Ga
CIHRT Exhibit P-0769 Page 30
Eastern Health -Budget Submission 2007-08(Portfolio)
( Clerk III positions to provide staffing, scheduling, and payrollfunctions currently performed by managers enabling them to
64 Fa Services /IHS Institutions / Pent focus on essential management functions and leadershi roles 3.00 132,244 27 132,244 3.00 5Renovation required at Interfaith Home to enable utilization ofRe ional Laund Services 0.00 10,000 10,000 5Allied Health personnel required to increase access to
66 Louise Portfolio services 10.00 629,000 629,000 10.00 Access 5 Access
Ultrasound-Janeway relief cost, Ultrasound Serv-Carbonear/increase volumes/Nuclear Medicine increasestaffing to utilize new Gamma Cameras /MRI -Janeway to
67 Oscar Dia nostlc Imaging o erate 16hrs/Mammo ra h -Carbonear machine available 4.00 319,700 319,700 4.00 Access 5 Access
Int.HS/Bonavista/Burin68 Pat CoS Peninsula/Communit 167,719 42 167,719 Accountabili 5 Access
69 Pat P Cancer Care 5.00 369,136 369,136 5.00 Access 5 Access70 Alice LTC - St. John's 0.00 300,000 300,000 Po ulation Health 6 Ga
1.00 74,000 21 74,000 1.00 Access 6- Peninsulas 0.00 3,500 3,500 Accountabili 6 ort
Regional Clinical Efficiency Facilitators for Burin, Clarenville,73 Louise Admissions Mana ement and Rural Avalon and office set u and su lies 3.00 238,200 31 238,200 6 Ga
Automated Pap Smear Screening,Liquid Based Pap SmearCollection/Processing
74 Oscar Laborato Services 850,000 850,000 Access 6 Access75 Pat CoS Int. Health Services Clarenville/Bonavista 1.40 110,600 48 110,600 1.40 Access 6 Access
76 Pat P Childrens-Womens Health 2.00 158,000 158,000 2.00 Access 677 Alice LTC - St. John's 4.20 370,000 2 370,000 4.20 Access 7
i\
5.20 381,353 22 381,353 5.20 7- Peninsulas 0.00 23,500 23,500 7
80 Louise 2.80 182,000 32 182,000 2.80 781 Oscar 50,000 50,000 7
82 Pat CoS Inst. Health Services Burin Peninsula 2.00 173,278 40 173,278 2.00 7 Ga83 Pat P Childrens-Womens Health 2.00 157,600 157,600 2.00 7 Access
Special Assistance Program-Initiatives aimed at addingmedical supplies (Pull-ups) and equipment (scooters andceiling track lifts) to SAP benefits list so as to more effectivelymeet the needs of disabled clients and those with Alzheimers. 0.00 51,000 51,000 8 Ga
Services / Pent Sco e of Practice- LPN/RN/PCA Skill Mix 0.00 78,148 29 78,148 8 Gaincrease 1.0 FTE Housekeeping dept as original position hasbeen dedicated to Dial sis unit onl 1.00 43200 43,200 1.00 Accountabilit IStabilit 8 ort
CIHRT Exhibit P-0769 Page 31
Eastern Health -Budget Submission 2007-08(Portfolio)
(
89 Pat P 3.30 224,257 224,257 3.30 Access 8
90 Alice 0.00 84,000 84,000 991 George 0.00 127,000 127,000 9
Additional 6 FTE's - Medical Flight Specialists to become a 2-92 Louise member team for Medical Air Ambulance trans orts. 6.00 500,000 500,000 6.00 Access 9 Ga
93 Pat CoS Social Work -G.B.Cross 0.50 37,000 49 37,000 0.50 Access 9 Access
94 Pat P Nurse I Palliative Care, Rec S ecialist Rehab 1.65 100,470 100,470 1.65 Access 9 Access
Physiotherapy Supplies, Recreation, Travel/Meeting95 Alice LTC - St. John's Ex enses,Renovations/Dra es 0.00 61,500 61,500 10
Supplies -Devolution of Provincial AmbulanceService,Eastern Health Forms/Upgrade printers,scanners,fax
96 Geor e Financial Services machines 79,000 79,000 1097 Pat P Childrens-Womens Health G ne Nursing, Lactation Consultant 1.00 112,500 112,500 1.00 10
Community Living and Supportive Services- Social Worker to support Community Behavioral Services98 Alice Urban Program for CYFS Clients 1.00 71,704 71,704 1.00 1199 Geor e Financial Services Travel throu hout Re ion 10,000 10,000 11
Relief - WPEO (4 weeks - Placement Services, Physiotherapyworker ( 4 weeks - HEC), Materials Management VacationRelief, Physiotherapy ( 16 weeks - All Sites), Occupational
LTC - St. John's Thera 12 weeks - All Sites 0.00 46,125 46,125 12Financial Services Financial Assessment Officer 0.40 24,000 24,000 0.40 12Community Living and Supportive Services-
10 Alice Urban Clerk T ist III MVR Buildin -Related to new s ace Ian 0.50 24,361 24,361 0.50 13Staffing Clerk - Masonic Park, Add 1.0 FTE DomesticWorkerlTrades worker/Storekeeper - St. Luke's, Clinical
10 Alice LTC - St. John's Educator - LTC 1.50 65,527 65,527 1.50 14
(·.Alice LTC - St. John's Seniors Da Care St. Lukes - Include Saturda 0.00 23,000 23,000 15
St. Luke's- Reduce 4 bedrooms to 2 to improve resident careand safety, St. Patrick's - 4 Bedrooms - hard to fill due to
LTC - St. John's s ace. Reduction of 2 beds. 0.00 228,000 228,000 16 Ga
Community Living and Supportive Services- Home Support -Growth due to aging population. HomeUrban Su orts -Seniors 0.00 102,000 102,000
Community Living and Supportive Services-Urban 0.00 17,549 17,549Community Living and Supportive Services-
10 Alice Urban 0.00 25,000 25,000
Community Living and Supportive Services-11 Alice Urban 0.00 270,680 270,680
Community Living and Supportive Services-111 Alice Urban 0.00 120134 120,134
CIHRT Exhibit P-0769 Page 32
Eastern Health -Budget Submission 2007-08(Portfolio)
Community Living and Supportive Services-Urban 0.00 136,879
Community Living and Supportive Services-11 Alice Urban 0.00 287,394
Community Living and Supportive Services-11 Alice Urban 0.00 113,310
Social Worker to support disabilities area:disabilities caseload,Community Living and Supportive Services- neglected adults and alternate family care - consistent with 06-
11 Alice Urban 07 re uest minus 1 new osition which commenced Oct. 06. 4.00 286,816 286,816 4.00Social Workers to implement Personal Care Home standards
Community Living and Supportive Services- (consistent with May 26, 2006 Submission to the Dept. of11 Alice Urban Health 2.00 143,408 143,408 2.00
Personal Care Homes -Growth due to elimination of 2006-07Community Living and Supportive Services- waitlist accumulated from July1/06 to March 31/07. Personal
11 Alice Urban Care Homes 0.00 308,448 308,448
Personal Care Homes -Growth due to waitlistCommunity Living and Supportive Services- prevention/elimination, based upon 4 new clients presenting toUrban Personal Care Home each month. 0.00 205,344 205,344
Community Living and Supportive Services-Urban 0.00 182,809 182,809
LTC - St. John's 0.00 20,000 20,000LTC - St. John's 2,113,450 2,113,450LTC - St. John's 0.00 70,000 70,000
LTC - St. John's 2.00 147,456 147,456 2.00LTC - St. John's 3.00 233,700 233,700 3.00Communit Children Services 1.00 62,985 3 62,985 1.00Communit Children Services 1.00 146,502 3 146,502 1.00Communit Children Services 1.00 60,764 3 60,764 1.00Communit Children Services 50,000 3 50,000
Child Care Services: Due to the number of licensed centres,
( Subsidies, corrective action orders, and increase in illegalcentre referrals it is recommended that the following temporarypositions become permanently funded: Clerk Typtist III; EarlyChildhood Consultant; ILA's; Inclusion Coordinators; Program
12 Bev Communit Children Services Manager; Social Worker I; Direct Client Costs 7.00 1,521,298 4 1,521,298 7.0013 Bev Communit Children Services Clerk T ist III-CYFS 2.00 107,432 4 107,432 2.00
Currently operating at 4.0 SW I FTE's above budgetCommunit Children Services allocation 4.00 334,844 4 334,844 4.00Communit Children Services CYFS - overtime shortfall 100,000 4 100,000
Communit Children Services CYFS - relief cost shortfall 285,000 4 285,000
Direct Client costs increase due to increased number of SocialCommunit Children Services Workers 50,000 4 50,000
Communit Children Services Document Server-CYFS 1.00 60,764 4 60,764 1.00Communit Children Services File Disclosure Coordinator-CYFS 1.00 60,764 4 60,764 1.00Communit Children Services Program Mana ers- CYFS 4.00 400,546 4 400,546 4.00Communit Children Services Social Work Assistants-CYFS 6.00 417,861 4 417,861 6.00Communit Children Services Social Worker I -CYFS 14.00 1 168,255 4 1,168,255 14.00Communit Children Services Social Worker II -CYFS 2.00 195691 4 195,691 2.00
CIHRT Exhibit P-0769 Page 33
Eastern Health -Budget Submission 2007-08(Portfolio)
Continuing Care Nursing Services- No increases in thesebudgets to meet growing demands such as increased numberof PCH, expansion of Home IV, and increasing complex needs
141 Bev Communit Health & Nursin in communit 1.00 87,720 5 87,720 1.00
Continuing Care Social Work Services-Proposal completed in14 Bev Communit Health & Nursin Janua 2005 which recommended 2.5 FTE's 2.50 207,640 5 207,640 2.50
Occupational Therapy Services- Caseloads are increasing;referrals are more complex and clients are housebound and
14 Bev Communit Health & Nursing unable to access hos ital out atient services 1.00 83,056 5 83,056 1.00Physiotherapy Services- Caseloads are increasing; referralsare more complex and clients are housebound and unable to
Communit Health & Nursing access hos ital out atient services 1.00 83,056 5 83,056 1.00
Communit Health & Nursin Child Health Clinic Immunizations - dose de endent vaccine 1.00 87,741 6 87,741 1.00Communit Health & Nursin Clerical Su ort 1.00 46,709 6 46,709 1.00
Home Care Basket of Services - expanded HIVAT (50%Communit Health & Nursin increase 100 referrals x 14 services each 2.00 345,025 7 345,025 2.00Communit Health & Nursin Home Care Basket of Services - Pharmac Tech 1.00 38,000 7 38,000 1.00
Home Care Basket of Services - Planning, Education &Communit Health & Nursin Coordination of Palliative Home Care Pro ram 1.00 86,905 7 86,905 1.00
Home Care Basket of Services - Post Acute Care LovonoxCommunit Health & Nursin 515 referrals x 7 services each 1.00 99,163 7 99,163 1.00
Home Care Basket of Services- Coordination of HIVAT &151 Bev Communit Health & Nursin Wound Thera 0.50 41,702 7 41,702 0.50
15 Bev Communit Health & Nursin Home Care Basket of Services -Home Palliative Care Pilot 2.00 637,913 7 637,913 2.00Home Care Basket of Services -Negative Pressure Wound
15 Bev Communit Health & Nursin Thera 60 referrals x 6 visits each 1.00 169,940 7 169,940 1.00School Immunizations - Dose Dependent Vaccine Coverage
15 Bev Communit Health & Nursin Men C Grade 4 & 9; MMR Catch U 1.25 101,400 6 101,400 1.25Increased LOS - 40% above database - need dedicated
. Bev Mental Health & Addictions MCAP Nurse 1.00 75,000 75,000 1.00Region-wide increased need for clinical consultation,
Mental Health & Addictions coordination and su ervision 3.00 254,000 8 254,000 3.00Span of control issues for management of rural and urban for
Mental Health & Addictions Eastern's Mental Health & Addictions 2.00 180,000 9 180,000 2.00Eating Disorders Program: Staff, Lease & Supplies (1/2
Mental Health & Addictions staffin re uirements: to be recruited in third uarter 3.00 228,750 10 228,750 3.00Mental Health & Addictions ChildlYouth Centralized Intake Pilot 1.00 62,000 11 62,000 1.00Mental Health & Addictions Mental Health Promotion Plan 10,000 10,000Mental Health & Addictions Mobile Crisis Res onse Team Members 2.10 157,500 157,500 2.10Mental Health & Addictions Mobile Crisis Res onse Vehicle Lease & Gas 15,000 15,000Mental Health & Addictions Staff Trainin / Education / Orientation 25,000 25,000Mental Health & Addictions West 2A / Stella Bur Communit Reintegration Pilot 1.00 80,000 80,000 1.00
Assertive Community Treatment (ACT) Team (SI. John's) -16 Bev Mental Health & Addictions Recruit in Third Quarter 9.00 460,000 12 460,000 9.00
Assertive Community Treatment Team (Rural) - Recruit in16 Bev Mental Health & Addictions Third Quarter 5.50 284,000 12 284,000 5.5016 Bev Mental Health & Addictions Home Su ort Su 180000 12 180,000
CIHRT Exhibit P-0769 Page 34
Eastern Health -Budget Submission 2007-08(Portfolio)
Housin 15,000 IPrima 516,655Prima 513,378Prima 162,464Prima 238,068Prima 336,300Prima 115,800Prima Health Care -Operatin Su lies 411,052Primary Health Care -Physician lead; FFS Physician; licenseFees 0.60 297,600 13 297,600 0.60Prima Health Care -Telehealth Coordinator 1.00 103,331 13 103,331 1.00Direct Client Costs- Code 57 Parental Visitation 77,812 14 77,812
Direct Client Costs -Code (79) Independent LivingCYFS/Ado tions-Rural Eastern Arran ements 1,240,000 14 1,240,000
CYFS/Ado tions-Rural Eastern Direct Client Costs -Code 46,000 14 46,000
CYFS/Ado tions-Rural Eastern Overtime 1.00 67,875 14 67,875 1.00CYFS/Ado tions-Rural Eastern Sick Leave Relief 1.00 67,875 14 67,875 1.00
Assessment Social Workers (Burin, Whitbourne, Clarenville,18 Fa CYFS/Ado tions-Rural Eastern Hr.Grace, Bonavista inc!. travel/allowance 2.00 168,552 14 168,552 2.0018 Fa CYFS/Ado tions-Rural Eastern Professional Develo ment Costs 60,000 14 60,000
Program Managers (Bonavisa/Bay Roberts) including18 Fa CYFS/Ado tions-Rural Eastern travel/allow 1.00 97,348 14 97,348 1.00
Social Work Students (9 students for 20 weeks18 Fa CYFS/Ado tions-Rural Eastern 1O/hr+1O%benefits 74,300 14 74,300
18 Fa CYFS/Ado tions-Rural Eastern Social Worker ost ado tions-children St. John's 1.00 74,224 14 74,224 1.00Social Worker Assistants (1 FTEBurin,.5FTEClarenville,.5FTEBonavista, 1FTEWhitbourne,1 FTE Hr. Grace, .5FTE Bay Roberts) Inc.
18 Fa CYFS/Ado tions-Rural Eastern travel/allowance 2.00 125,186 14 125,186 2.0018 Fa CYFS/Ado tions-Rural Eastern Social Worker II Burin includes travel/allow. 1.00 83,729 14 83,729 1.0019 Fa ICYFS/Ado tions-Rural Eastern WPEO St.John'slWhitbourne 1.00 44,847 14 44,847 1.00
WPEO's(.5FTE Burin, 1FTE Clarenville, 1FTE Hr. Grace,191 Fa CYFS/Ado tions-Rural Eastern .5FTE Sa Roberts, 1FTE Whitbourne 2.00 89,694 14 89,694 2.00
( Fa CYFS/Ado tions-Rural Eastern Re ional Travel Cost/Allowances 31,796 14 31,796
\, Travel for School Health Liaison Positions/Lactation19 Fa Health Promotion Consultant/Re ional Staff 25,000 15 25,000
Wellness Initiatives -School Health Liaison Consultant-Rural19 Fa Health Promotion Avalon/Peninsulas/St. John's 2.00 155,000 15 155,000 2.00
Integrated Health Services Community -19 Fa Rural Avalon Triage Mental Health Nurse - CGH Emergency De t 1.00 77,546 77,546 1.00
Public Health Capacity - Inability to meet program criteria inIntegrated Health Services Community - HPP due to enhanced vaccination schedule requirements and
19 Fa Rural Avalon devolution of all immunizations b h sicians 3.00 263,427 16 263,427 3.00Personal Care Homes - AG Report -Additional staffingresources are necessary to comply with the licensing and
Long Term Care & Supportive Services - monitoring component of the Personal Care Home Program19 fu Rural Avalon o erational Standards issued in Jul 2006 4.50 293,100 25 293,100 4.50
Long Term Care & Supportive Services - Projected increase in "direct client cost" budget for RuralRural Eastern Eastern 0.00 1,586,864 1,586,864LTCSu Services /IHS Institutions / Pent New Ca ital Limits/Minor E ui ment Re uirements 0.00 72 000 29 72,000 Accountabili IStabilit
CIHRT Exhibit P-0769 Page 35
Eastern Health -Budget Submission 2007-08(Portfolio)
Nursing Staff Issues: Increase in Nursing DepartmentPentecostal Home Overtime and Sick Relief 0.00 18,500 29 18,500 Access
Advanced/Specialty Nursing: Regional Clinical Educator tospecifically meet advanced and specialty education needs forRural Avalon and assist with core programs. Reinstatement ofGerontology Nurse position to provide direct clinical care andconsistent follow-up in areas such as wound care, advancedfoot care, and vaccination programs. Regional Clinical NurseSpecialist to strengthen gerontological nursing practicethrough clinical expertise, education, and research and
Pentecostal Home ro ram develo ment 0.75 38,000 38,000 0.75Pentecostal Home Increased travel costs re: networkin within re ion 0.00 5,000 29 5,000
Implementation of pest control contract to meet governmentPentecostal Home standard 0.00 7,200 29 7,200
Regional clinical positions e.g.. Clinical Nurse Specialist,Pentecostal Home Clinical Educator 26
HCC Distribution External - Under funded in delivery &courier·Materiels Mana ement offline char es, fuel increases, increased SAP clients 210,000 210,000
Underfunded in steam, electricity, linen supplies, andPurchased Service in Laundry Services and printing supplies,delivery &courier, equipment maintenance, postage,photocopying supplies, and rental/lease costs for whole
Materiels Mana ement or anization 641,600 641,600Increase in relief budget in Ambulatory/Emergency
Ambulato De artment to reflect actual usa e 365,000 365,000 AccessSANE - additional funding required for training, relief, travel,court time, ra e kits, dru s, and e ui ment 21,000 21,000 Access AccessHSC &SCM Endoscopy - Increased volume and morestrin ent infection control standards - 1.0 LPN 1.00 58,500 58,500 1.00 Access Access
0.5 RN for transplant patients receiving assessments viaAmbulato videoconferencing 0.50 32,500 32,500 0.50 Access New Modali fTech
Nurse Practitioner 1.00 75,000 38 75,000 1.00SHN - VAP &AMI initiatives 0.50 35,000 35,000 0.50 Access GaEPMa ing - Service Contract, Patch Kit, Arra Catheter 82,500 82,500An ioseal- increased utilization 20,000 20,000Dru Elutin Stents 32,400 32,400Dru s - ICU HSC &SCM 80,000 80,000
Cardiac/Critical Care increased utilization 200,000 200,000Cardiac/Critical Care 100,000 100,000
Medicine 0.50 30,000 30,000 0.5'0 Access Access
Medicine 1.00 121,000 121,000 1.00 Access Access
Medicine 250,000 35Medicine 45,000Medicine 1.00 75,000 38 75,000 1.00Pastoral Care 1.00 55000 55,000 1.00 Access Access
CIHRT Exhibit P-0769 Page 36
Eastern Health .Budget Submission 2007-08(Portfolio)
10,00080,00060,000 3660,000
ists 60,0000.50 40,000 40,000 0.502.00 160,000 37 160,000 2.00
105,0001.00 50,000 50,000 1.00
75,000 75,00045,000 45,00050,000 50,00020,000 20,00035,000 35,000
400,000 400,00020,000 20,00075,000 75,000 Access Access
530,000 300,000 Access Access0.50 25,000 25,000 0.50 Accountabili Ga
56,100 56,1001.00 75,000 38 75,000 1.00
55,000 55,000 Ga26,000 26,000
263,950 263,950
Cat Scan- Contrast & S rin es due to increased volumes 55,000 55,000
Nuclear Medicine -Due to increase service M oview Isoto es 70,000 70,000Uniforms Central Porterin 5,000 5,000Lab-Genetic Pro ram 3.00 230,000 230,000 3.00Creatinine Standardization 50,000CRP Testin 13,500HPLC Bacteria Identification 5,000Safety engineered devices including new lancets-Health
Laborato Services Canada Adviso 100,000 New Modali /Tech
Laborato Services Immunohistochemist 65,000 65,000
Laborato Services BNP testin 13,952 13,952Janeway eye clinic staffing (Budget Shortfall),Staffing
Medical Services increases for secretarial su ort 3.40 192,644 192,644Medical Services Recruitment/Relocation & license fees-Re ional 115,000 115,000
Pharmac Ex ansion of Clinical Services Medicine Sur~ 3.00 189,750 189,750 3.00 Access
Pharmacy ends, Pharmacy Residency Program 84,000 84,000 AccountabiliPharmac 21,600 21,600 Accountabili
VP-Medical Services and Dia 30,000 30,000s
62,556 45
Insi. Health Services Burin Peninsula 2.20 253388 45 2.20 I
CIHRT Exhibit P-0769 Page 37
Eastern Health -Budget Submission 2007-08(Portfolio)
Renal Dial sis Growth 50,000PCH - AG Report -SW Resource for increased personal care
Int. Health Services Clarenville/Bonavista home monitorin 0.50 41,205 53 41,205 0.50
Int.Health Services Communit -Peninsulas Mental Health/Addictions Intake Social Worker, Clarenville 1.00 80,029 56 80,029 1.00Int.Health Services Communit -Peninsulas Mental Health Su ortive Services, Clarenville 60,000 57 60,000Int.Health Services Communit -Peninsulas Mental Health/Addictions Intake Social Worker, Burin 1.00 80,029 56 80,029 1.00
Int.Health Services Communit -Peninsulas 3.00 241,827 58 241,827 3.00Integrated Health Services Community -Rural Eastern Home Care Basket of Services - Pharmac Tech 0.50 20,520 59 20,520 0.50Integrated Health Services Community- Home Care Basket of Services -Clinical Co-ordinator to
27 Pat CoS Rural Eastern su ort ex anded home care services 1.00 93,405 59 93,405 1.00
Home Care Basket of Services -Community Health Nurses toIntegrated Health Services Community - allow implementation of a Rural Eastern pilot project re the
27 Pat CoS Rural Eastern ex ansion of home care services to the communit 10.00 1,211,200 59 1,211,200 10.00Integrated Health Services Community -Rural Eastern 1.00 48,523 59 48,523 1.00Allied Health Services Develo ment ment 0.30 33,500 33,500 0.30Cancer Care 17,000 17,000
Cancer Care 17,000 17,000
Cancer Care 135,000 135,000Childrens-Womens Health 1.00 75,000 75,000 1.00 Access Ga
Childrens-Womens Health 32,000 32,000Childrens-Womens Health 14,000 14,000
1.00 80,000 80,000 1.00 Accountabili art38,000 38,000 Accountabili art
101,00010,000 10,000 Accountabili art
2.00 163,800 163,800 2.00200,000 200,000 Access
19,000 19,00042,000 42,000
7,000 7,000 art
29 Steve Communications 1.00 58,968 58,968 1.00 art29 Steve HIS & Informatics 1.00 42,000 42,000 1.00 art29 Steve HR Client Service 5,000 5,000 art29 Steve HR Client Service 60,000 60,000 art
HRIS - Rollout to Eastern Health See Provincial Pro osal 500,000 63 500,000ment French Services 15,000 67 15,000ment Mediator for Work lace Harassment 20,000 69 20,000ment Meeting room furniture 20,000 20,000
Em 10 ee Recognition Pro ram 98,400 66 98,400Referred out D&T/FAF fees/EFAP increase 25,000 25,000HR Consultant 1.00 70970 70,970 1.00
CIHRT Exhibit P-0769 Page 38
Eastern Health -Budget Submission 2007-08(Portfolio)
373.67
61,379,759
30,428,607
1,590,444
7,933,76023,017,39261,379,747373.67
(2.00 127,000 127,000 2.00
80,000 80,00030,000 30,000
0.00 87,590 73 87,5904.00 2,576,262 74 2,576,262 4.00
(
CIHRT Exhibit P-0769 Page 39
CIHRT Exhibit P-0769 Page 40